JENNIFER M DONALDSON
NPI 1104680453
Nurse Practitioner - Family in Long Beach, CA

Q: What is Jennifer Donaldson's NPI number?

The NPI number for Jennifer Donaldson is 1104680453. It was assigned to this individual provider in the NPPES registry on February 7, 2024.

Q: What is Jennifer Donaldson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since February 07, 2024PECOS EnrolledAccepts Medicare Assignment

200 OCEANGATE STE 100, LONG BEACH, CA 90802(888) 562-5442 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennifer M Donaldson NPPES

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

JENNIFER M DONALDSON (NPI 1104680453) is an individual family provider in Long Beach, California, licensed in California (2023167308) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104680453

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER M DONALDSON

Location Address200 OCEANGATE STE 100Long Beach, CA 90802-4317

Mailing Address618 S Detroit St Apt 206Los Angeles, CA 90036-4198 · (201) 725-1313

Phone(888) 562-5442

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 7, 2024

Last NPPES UpdateFebruary 26, 2024

NPPES CertifiedFebruary 26, 2024

✔ NPI 1104680453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 2023167308

200 OCEANGATE STE 100, Long Beach, CA 90802

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Secondary Practice Location 1

Location 1618 S Detroit St Apt 206Los Angeles, CA 90036-4198 · Phone (201) 725-1313

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer M Donaldson 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 ID9638517725

PECOS Enrollment IDI20240409002655

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90802 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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.

MOLINA MEDICAL GROUP OF NEW MEXICO, PC

Family Medicine