SANDRA DONNA DONOVER CNM
NPI 1013993088
Advanced Practice Midwife in Philadelphia, PA

Q: What is Sandra Donover's NPI number?

The NPI number for Sandra Donover is 1013993088. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Q: What is Sandra Donover's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Donover was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 21, 2005PECOS Enrolled

86.75/100

CMS Quality Rating

800 WALNUT ST, 14TH FLOOR, PHILADELPHIA, PA 19107(215) 829-8000(215) 829-8623 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Sandra Donna Donover Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA DONNA DONOVER CNM (NPI 1013993088) is an individual advanced practice midwife in Philadelphia, Pennsylvania, licensed in Pennsylvania (MW008519L) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013993088

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameSANDRA DONNA DONOVERCredential: CNM

Location Address800 WALNUT ST, 14TH FLOORPhiladelphia, PA 19107-5109

Mailing Address800 Walnut St, 14th FloorPhiladelphia, PA 19107-5109 · (215) 829-8000 · Fax (215) 829-8623

Phone(215) 829-8000

Fax(215) 829-8623

Sole ProprietorNo

Enumeration DateDecember 21, 2005

Last NPPES UpdateOctober 29, 2013

✔ NPI 1013993088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in PA · MW008519L

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

800 WALNUT ST, Philadelphia, PA 19107

Open in Google Maps ↗

Other Identifiers 1

Medicare PIN054500PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sandra Donna Donover Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sandra Donover reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Care Associates Of The University Of Pennsylvania Health Syst

1.0 mi

Foot and Ankle Surgery

230 W WASHINGTON SQ, 5TH FLOOR
Philadelphia, PA 19106

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
983 clinicians in this Medicare group

NPI 1942319777 (215) 829-3668

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.91

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANJELICA YVONNE GIPSON MD

Family Medicine

800 WALNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-0101

ELIZABETH GRODANZ

Nurse Practitioner (Adult Health)

800 WALNUT ST, 20TH FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-8713

RICHARD K. KRAUSS MD

Obstetrics & Gynecology (Gynecology)

800 WALNUT ST, 15TH FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 807-8000

CHRISTOPH THOMAS HUTCHINSON M.D.

Internal Medicine (Pulmonary Disease)

800 WALNUT ST, 9TH FL
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-5027

MRS. JUDITH BUDA WESSELL CRNP

Nurse Practitioner (Adult Health)

800 WALNUT ST, STE 239
PHILADELPHIA, PA 19107

Philadelphia County (215) 454-3308

LINDA E RONIS-KASS AUD

Audiologist

800 WALNUT ST, 18TH FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-8180

JACQUELYN ELIZABETH SEXTON CRNP

Nurse Practitioner (Family)

800 WALNUT ST
PHILADELPHIA, PA 19107

Philadelphia County (610) 316-0557

RAPHAEL HOWARD KARKOWSKY MD

Internal Medicine

800 WALNUT ST, 17TH FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 829-3523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Donover's NPI number?

The NPI number for Sandra Donover is 1013993088. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Sandra Donover located?

Sandra Donover practices at 800 Walnut St 14th Floor, Philadelphia, PA 19107. The listed phone number is (215) 829-8000.

What is Sandra Donover's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Sandra Donover enrolled in Medicare?

Yes. Sandra Donover is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sandra Donover's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Donover reassigns Medicare benefits to Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sandra Donover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Donover accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Sandra Donover as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Donover was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.