Dominique Ely
AGACNP-BC | Nurse Practitioner | 12+ years Exp
302 W Hay St Ste 140, Decatur
Illinois, 62526-4168
217-872-2713
Dominique Ely is a Decatur, Illinois based nurse practitioner with 12 years of experience in . She completed her graduation from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dominique Ely is 209011112 for Acute Care in Illinois. Her current practice location is 302 W Hay St Ste 140, Decatur. Patients can reach her at 217-872-2713 or can fax her at 217-545-1958. Dominique Ely is AGACNP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1629490081.
Dominique Ely has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Dominique Ely speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Dominique Ely |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | AGACNP-BC |
| Experience: | 12+ years |
| Medical School Attended: | University Of Illinois College Of Med (chi/peor/rock/chm-urb) |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 302 W Hay St Ste 140, Decatur,
Illinois, 62526-4168 |
| Phone: | 217-872-2713 |
| Fax: | 217-545-1958 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 6002046935 |
| Enrollment ID: | I20140220000660 |
| NPI Number: | 1629490081 |
| NPI Enumeration Date: | 20 Jan, 2014 |
| NPI Last Update On: | 24 Sep, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dominique Ely are as mentioned below.
| License Number | Specialization | State | Status | |
| 209011112 | Acute Care | Illinois | Primary | |
| 209011112 | Nurse Practitioner | Illinois | Secondary | |
| 209011112 | Adult Health | Illinois | Secondary | |
| 209011112 | Gerontology | Illinois | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Dominique Ely is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Carle Health Care Incorporated (3577515774) | 792 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Dominique Ely
Po Box 19639,
Springfield, Illinois |
| Zip: | 62794-9639 |
| Phone Number: | 217-545-8000 |
Patients can reach Dominique Ely at
302 W Hay St Ste 140, Decatur, Illinois or can
call to book an appointment on 217-872-2713.
Comments/ Reviews:
Patients can read all the reviews posted for Dominique Ely below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dominique Ely. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.