MRS. DONNA MARIE AVERY NP
NPI 1114446515
Nurse Practitioner - Family in East Saint Louis, IL

Q: What is Donna Avery's NPI number?

The NPI number for Donna Avery is 1114446515. It was assigned to this individual provider in the NPPES registry on September 17, 2017. The provider is also known as Donna Marie Wiley.

Q: What is Donna Avery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Donna Avery was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since September 17, 2017PECOS EnrolledAccepts Medicare Assignment

2420 STATE ST, EAST SAINT LOUIS, IL 62205(618) 318-8809(618) 615-4205 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 26, 2026, Jun 10, 2025, Jan 6, 2025 and 3 more (6 updates tracked since 2017).

On this page

About Mrs. Donna Marie Avery Np NPPES

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

MRS. DONNA MARIE AVERY NP (NPI 1114446515) is an individual family provider in East Saint Louis, Illinois, licensed in Illinois (209016129) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Hshs St Elizabeth's Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114446515

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DONNA MARIE AVERYCredential: NP

Location Address2420 STATE STEast Saint Louis, IL 62205-2321

Mailing AddressPo Box 746715Atlanta, GA 30374-6715 · (618) 318-8809 · Fax (618) 615-4205

Phone(618) 318-8809

Fax(618) 615-4205

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 17, 2017

Last NPPES UpdateMarch 26, 20266 updates tracked since enumeration

NPPES CertifiedMarch 26, 2026

✔ NPI 1114446515 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 IL · 209016129

2420 STATE ST, East Saint Louis, IL 62205

Open in Google Maps ↗

Other Names 1

Former Name (1)Donna Marie Wiley

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 Marie Avery 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 ID2668737743

PECOS Enrollment IDI20180518001444

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

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

Osh-Il Physicians Group LLC

Same address

Primary Care

2420 STATE ST
East Saint Louis, IL 62205

Reassigned Medicare billing, Illinois enrollment
35 clinicians in this Medicare group

NPI 1265977698 (618) 318-8809

Granite City Hospitalist Services LLC

77 mi

Hospitalist

2250 N ILLINOIS AVE
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
88 clinicians in this Medicare group

NPI 1669926424 (618) 833-1691

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 4

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

21 services18 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

20 services20 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services15 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140187

LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62205 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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$79.55 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OSH-IL PHYSICIANS GROUP LLC

Clinic/Center (Primary Care)