Kimberly Irby Dominique, FNP
NPI 1902496524ActiveIndividual· Nurse Practitioner, Family· Pascagoula, MS
Nurse Practitioner, Family (FNP) with Memorial Hospital at Gulfport, practicing in Pascagoula, Mississippi. Mostly services rather than prescriptions: Medicare paid $16,432 for 175 patients in 2024, with only 22 Part D claims. Kerecis Limited reported $28.68 in payments in 2025, mostly food and beverage. Lists Memorial Hospital at Gulfport as a hospital affiliation.
Overview
| NPI | 1902496524 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jan 19, 2021 |
| Last updated in NPPES | Jan 19, 2021 |
| Certified by provider | Jan 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 904287 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 342 across 14 procedure codes |
| Paid by Medicare | $16,432 |
Part D prescriptions in 2024
| Prescriptions (claims) | 22 · 22 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $548.28 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Memorial Hospital at GulfportGulfport, MS · 474 clinicians
Hospital affiliation
- Memorial Hospital at GulfportGulfport, MS
Industry payments (Open Payments)
- 2025$28.68 · 1 payment from 1 company
- 2024$21.43 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Kerecis Limited | $28.68 | 1 |
What the 2025 payments were for
- Food and Beverage$28.68 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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