REBECCA ELIZABETH DONNELLY NP
NPI 1063357648
Nurse Practitioner - Adult Health in Watervliet, NY
About Rebecca Elizabeth Donnelly Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REBECCA ELIZABETH DONNELLY NP (NPI 1063357648) is an individual adult health provider in Watervliet, New York, licensed in New York (312828) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rebecca Elizabeth Donnelly Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rebecca Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Troy, NY 12180
- Reassigned Medicare billing, New York enrollment
- 725 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12189 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WATERVLIET, NY 12189
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 Rebecca Donnelly's NPI number?
The NPI number for Rebecca Donnelly is 1063357648. It was assigned to this individual provider in the NPPES registry on April 21, 2026.
Where is Rebecca Donnelly located?
Rebecca Donnelly practices at 1 Bell Tower Dr, Watervliet, NY 12189. The listed phone number is (518) 268-6390.
What is Rebecca Donnelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Rebecca Donnelly enrolled in Medicare?
Yes. Rebecca Donnelly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rebecca Donnelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Donnelly reassigns Medicare benefits to Samaritan Hospital Of Troy, New York (Troy, NY). 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 Rebecca Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rebecca Donnelly was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Rebecca Elizabeth Donnelly, NP · NPI 1063357648
Adult Health physician in Watervliet, New York. Individual provider, active in the CMS NPPES registry since April 21, 2026.
## Identity
- **NPI:** 1063357648 (Entity type: Individual)
- **Enumerated:** April 21, 2026
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 312828 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BELL TOWER DR, Watervliet, NY 12189-2333
- **Phone:** (518) 268-6390
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Samaritan Hospital Of Troy, New York (NPI 1043267727, Troy, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** June 9, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1063357648) · Data from the CMS NPPES public registry.