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

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: October 25, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jennifer Donaldson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of California
Same address
Health Maintenance Organization
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1194811760 (562) 499-6191
Central Health Plan Of California, Inc.
26 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390
Altea Medical California PC
584 mi
Geriatric Medicine
2353 23RD ST
Eureka, CA 95501
  • Reassigned Medicare billing, California enrollment
  • 111 clinicians in this Medicare group
NPI 1174302954 (888) 408-7008

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 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
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (562) 499-6191
DARLENA THACH FNP-C
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (888) 562-5442
JOANNA DURON FNP
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (760) 718-5648
MELISSA STEWART LCSW
Social Worker (Clinical)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (860) 255-4640
DAISY O ALVARADO FNP-C, RN, PHN, CBN
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (951) 660-6224
MRS. CHARLYNE GABRIEL-JACQUES ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (305) 382-4161
ALYSSA AREEPRACHAPIROM
Nurse Practitioner (Psychiatric/Mental Health)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (888) 562-5442
MS. PATRICIA A KELLY NMD, FNP-BC, GNPC-BC
Nurse Practitioner (Family)
200 OCEANGATE STE 100
LONG BEACH, CA 90802
Los Angeles County (888) 562-5442

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 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.

Where is Jennifer Donaldson located?

Jennifer Donaldson practices at 200 Oceangate Ste 100, Long Beach, CA 90802. The listed phone number is (888) 562-5442.

What is Jennifer Donaldson's specialty?

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

Is Jennifer Donaldson enrolled in Medicare?

Yes. Jennifer Donaldson 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.

Which organizations bill Medicare for Jennifer Donaldson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Donaldson reassigns Medicare benefits to 3 organizations: Molina Healthcare Of California (Long Beach, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA) and Altea Medical California PC (Eureka, CA). Each 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 Jennifer Donaldson'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 Jennifer Donaldson was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.