NICHOLAS JOHN DONATO CNP
NPI 1154095669
Nurse Practitioner - Family in Cleveland, OH

Q: What is Nicholas Donato's NPI number?

The NPI number for Nicholas Donato is 1154095669. It was assigned to this individual provider in the NPPES registry on August 7, 2021.

Q: What is Nicholas Donato'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 Nicholas Donato was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 07, 2021PECOS EnrolledAccepts Medicare Assignment

79.48/100

CMS Quality Rating

11100 EUCLID AVE, CLEVELAND, OH 44106(216) 513-4321 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2023, Aug 7, 2021 (2 updates tracked since 2021).

On this page

About Nicholas John Donato Cnp NPPES

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

NICHOLAS JOHN DONATO CNP (NPI 1154095669) is an individual family provider in Cleveland, Ohio, licensed in Ohio (APRN.CNP.0028151) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2020).

NPPES Registry Identity

NPI1154095669

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameNICHOLAS JOHN DONATOCredential: CNP

Location Address11100 EUCLID AVECleveland, OH 44106-1716

Mailing Address11100 Euclid AveCleveland, OH 44106-1716

Phone(216) 513-4321

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2020

Enumeration DateAugust 7, 2021

Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2023

✔ NPI 1154095669 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 OH · APRN.CNP.0028151

11100 EUCLID AVE, Cleveland, OH 44106

Open in Google Maps ↗

Other Identifiers 1

OtherAPRN.CNP.0028151OH · Ohio Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Nicholas John Donato Cnp 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 ID4880091669

PECOS Enrollment IDI20210921002285

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.

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

209 services103 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

70 services51 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

13 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Parma Community General Hospital

Acute Care Hospitals · Parma, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360041

Location7007 Powers BoulevardParma, OH 44129 · Cuyahoga County

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH

3/5 CMS rating

OwnershipProprietary

CMS Certification Number360075

Location13207 Ravenna RoadChardon, OH 44024 · Geauga County

Emergency services Birthing friendly

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360123

Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County

Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

Uhhs Memorial Hospital Of Geneva

Critical Access Hospitals · Geneva, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number361307

Location870 West Main StreetGeneva, OH 44041 · Ashtabula County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44106 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

79.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.51

Promoting Interoperability

100

Improvement Activities

Cost

63.09

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.

DR. YU HYON KIM MD

Ophthalmology

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-3601

JENNIFER LYNN PARRY RN, CPNP

Nurse Practitioner (Pediatrics)

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 983-5691

RAINBOW BABIES & CHILDREN'S HOSPITAL

General Acute Care Hospital (Children)

11100 EUCLID AVE, RBC 637
CLEVELAND, OH 44106

Cuyahoga County (216) 983-5261

DR. KA CHUN ALAN CHAN M.D

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106

Cuyahoga County (216) 844-1000

DR. CHOR CHEUNG TAM M.D.

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE, UNIVERSITY HOSPITALS CASE MEDICAL CENTER
CLEVELAND, OH 44106

Cuyahoga County (216) 333-8948

DOMINIC CERCONE

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-1000

DR. CHRISTOPHER FELCHLIA MD

Anesthesiology

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-2273

GABRIELLA MARGUERITE RUSTIA MD

Student in an Organized Health Care Education/Training Program

11100 EUCLID AVE
CLEVELAND, OH 44106

Cuyahoga County (216) 844-8570

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 Nicholas Donato's NPI number?

The NPI number for Nicholas Donato is 1154095669. It was assigned to this individual provider in the NPPES registry on August 7, 2021.

Where is Nicholas Donato located?

Nicholas Donato practices at 11100 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 513-4321.

What is Nicholas Donato's specialty?

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

Is Nicholas Donato enrolled in Medicare?

Yes. Nicholas Donato 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 Nicholas Donato accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 1 other insurer list Nicholas Donato 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.

Is Nicholas Donato affiliated with any hospitals?

According to CMS data, Nicholas Donato is affiliated with Parma Community General Hospital, Uh Regional Hospitals, Uh St John Medical Center, Uh Cleveland Medical Center and Uhhs Memorial Hospital Of Geneva.

When was this NPI record last updated?

The NPPES record for Nicholas Donato was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.