Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Theresa M Domagola, ACNP-BC, PMHNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1184676322

Theresa M Domagola, ACNP-BC, PMHNP-BC is a Nurse Practitioner in Jacksonville, Florida. Graduated from University of Rochester School of Medicine and Dentistry in 2003, 23 years ago. Practices with University of Florida Jacksonville Physicians, Inc, a 903-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
23
Trained at
University of Rochester School of Medicine and Dentistry
Licensed in
FL, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

15255 Max Leggett Pkwy Ste 3600
Jacksonville, FL 32218-7279
Phone: (904) 427-6895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 11002747 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 430210 (NY)

Record details

NPI number1184676322
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC , PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJune 24, 2024
Certification dateJune 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduated 2003 (23 years in practice)
Group practice University Of Florida Jacksonville Physicians, Inc. — 903 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients204
Services billed 316 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $123 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Shands Jacksonville Hospital · Jacksonville, FL

Colleagues at University of Florida Jacksonville Physicians, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 903 clinicians in the practice; 12 are shown here.

Other providers in Jacksonville