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MRS. DONNA V KAPLAN NP
NPI 1154386704
Nurse Practitioner - Family in St Petersburg, FL

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
603 7TH ST S STE 300, ST PETERSBURG, FL 33701(727) 954-7121(727) 954-7122 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2024, Apr 15, 2024, Apr 9, 2021 and 2 more (5 updates tracked since 2016).

About Mrs. Donna V Kaplan Np NPPES

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

MRS. DONNA V KAPLAN NP (NPI 1154386704) is an individual family provider in St Petersburg, Florida, licensed in Florida (APRN11025745) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1154386704
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DONNA V KAPLANCredential: NP
Location Address603 7TH ST S STE 300St Petersburg, FL 33701-4734
Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806
Phone(727) 954-7121
Fax(727) 954-7122
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateApril 18, 2006
Last NPPES UpdateJune 5, 20245 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
✔ NPI 1154386704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11025745
Also ListedNurse PractitionerTaxonomy 363L00000X · License 35689 (WV)
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 35689 (WV)
603 7TH ST S STE 300, St Petersburg, FL 33701
Open in Google Maps ↗

Other Identifiers 3

Other000028532Bcbs
Medicaid0091392000WV
Other7893WV · Acordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Mrs. Donna V Kaplan 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 ID2466684790
PECOS Enrollment IDI20240430003832
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
31 services31 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Hospital Affiliations CMS Care Compare 2

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

St Anthonys Hospital

Acute Care Hospitals · Saint Petersburg, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100067
Location1200 Seventh Ave NSaint Petersburg, FL 33705 · Pinellas County
Emergency services

Hca Florida St Petersburg Hospital

Acute Care Hospitals · Saint Petersburg, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100180
Location6500 38th Ave NSaint Petersburg, FL 33710 · Pinellas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33701 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 8

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

KRISTIN POLAKOFF
Physician Assistant
603 7TH ST S STE 300
ST PETERSBURG, FL 33701
Pinellas County (727) 954-7121
PRASHANTI LOGESWARAN MD
Obstetrics & Gynecology
603 7TH ST S STE 300
ST PETERSBURG, FL 33701
Pinellas County (727) 954-7121
LORENNA LYNN GUERRA CFA
Specialist/Technologist, Other (Surgical Assistant)
603 7TH ST S STE 300
SAINT PETERSBURG, FL 33701
Pinellas County (727) 954-7121
DONNA M OSWANDEL CNM
Nurse Practitioner
603 7TH ST S STE 300
ST PETERSBURG, FL 33701
Pinellas County (727) 954-7121
DR. LATERICA SHAVAWN BARTON D.O.
Obstetrics & Gynecology
603 7TH ST S STE 300
ST PETERSBURG, FL 33701
Pinellas County (727) 954-7121
OLIVIA PARDI RAHMAN APRN
Nurse Practitioner (Family)
603 7TH ST S STE 300
ST PETERSBURG, FL 33701
Pinellas County (727) 954-7121
DR. ANNA LINDLEY MCNEILL M.D.
Obstetrics & Gynecology
603 7TH ST S STE 300
ST PETERSBURG, FL 33701
Pinellas County (727) 954-7121
LINDSEY KISKADDON APRN
Nurse Practitioner (Family)
603 7TH ST S STE 300
SAINT PETERSBURG, FL 33701
Pinellas County (727) 954-7121

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 Donna Kaplan's NPI number?

The NPI number for Donna Kaplan is 1154386704. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Donna Kaplan located?

Donna Kaplan practices at 603 7th St S Ste 300, St Petersburg, FL 33701. The listed phone number is (727) 954-7121.

What is Donna Kaplan's specialty?

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

Is Donna Kaplan enrolled in Medicare?

Yes. Donna Kaplan 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 Donna Kaplan accept?

Health plans from CareSource list Donna Kaplan 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 Donna Kaplan affiliated with any hospitals?

According to CMS data, Donna Kaplan is affiliated with St Anthonys Hospital and Hca Florida St Petersburg Hospital.

When was this NPI record last updated?

The NPPES record for Donna Kaplan was last updated on June 5, 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.