DR. KATIE LYNN DONNELLY APRN, FNP-C
NPI 1023781259
Family Medicine in Salt Lake City, UT
About Dr. Katie Lynn Donnelly Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATIE LYNN DONNELLY APRN, FNP-C (NPI 1023781259) is an individual family medicine provider in Salt Lake City, Utah, licensed in Utah (6632518-4405) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Midvale.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Katie Lynn Donnelly Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katie Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murray, UT 84123
- Reassigned Medicare billing, Utah enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Katie Donnelly's NPI number?
The NPI number for Katie Donnelly is 1023781259. It was assigned to this individual provider in the NPPES registry on July 24, 2021.
Where is Katie Donnelly located?
Katie Donnelly practices at 434 South 500 East, Salt Lake City, UT 84102. The listed phone number is (801) 395-8862.
What is Katie Donnelly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Katie Donnelly enrolled in Medicare?
Yes. Katie Donnelly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Katie Donnelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katie Donnelly reassigns Medicare benefits to Amazing Medical Associates, Inc (Murray, UT). 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 Katie Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katie Donnelly accept?
Health plans from Molina Healthcare list Katie Donnelly 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 Katie Donnelly was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.