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MRS. DONNA MCGHEE NP
NPI 1033116587
Nurse Practitioner in Swansea, IL

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
88.92/100
CMS Quality Rating
12 PARK PL, SWANSEA, IL 62226(618) 233-5722(618) 233-7069 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Donna Mcghee Np NPPES

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

MRS. DONNA MCGHEE NP (NPI 1033116587) is an individual nurse practitioner in Swansea, Illinois and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1990).

NPPES Registry Identity

NPI1033116587
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. DONNA MCGHEECredential: NP
Location Address12 PARK PLSwansea, IL 62226-2923
Mailing Address12 Park PlSwansea, IL 62226-2923 · (618) 233-5722 · Fax (618) 233-7069
Phone(618) 233-5722
Fax(618) 233-7069
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1990
Enumeration DateJune 30, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033116587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12 PARK PL, Swansea, IL 62226
Open in Google Maps ↗

Other Identifiers 1

Other2002017083MO · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Donna Mcghee Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981594215
PECOS Enrollment IDI20040329000681
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 Reassignments

2

Medicare enrollment records show Donna Mcghee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Health Care Group
15 mi
Internal Medicine
1225 SOUTH GRAND BLVD, 2L - DOOR 3,4
Saint Louis, MO 63104
  • Reassigned Medicare billing, Missouri enrollment
  • 1,294 clinicians in this Medicare group
NPI 1306589544 (314) 977-6100
Slh Physicians LLC
15 mi
Emergency Medicine
3635 VISTA AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 194 clinicians in this Medicare group
NPI 1881668051 (314) 577-8000

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 62226 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
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.

88.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.72
Promoting Interoperability100
Improvement Activities40
Cost45.01

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 Donna Mcghee's NPI number?

The NPI number for Donna Mcghee is 1033116587. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Donna Mcghee located?

Donna Mcghee practices at 12 Park Pl, Swansea, IL 62226. The listed phone number is (618) 233-5722.

What is Donna Mcghee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Donna Mcghee enrolled in Medicare?

Yes. Donna Mcghee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Donna Mcghee accept?

Health plans from Oscar Insurance Company list Donna Mcghee 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 Donna Mcghee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.