1. Home
  2. Directory
  3. Connecticut
  4. Old Lyme
  5. Nurse Practitioner
  6. NPI Profile

KAREN G DONOVAN
NPI 1154591394
Nurse Practitioner - Gerontology in Old Lyme, CT

Active since March 04, 2008PECOS EnrolledAccepts Medicare Assignment
55 HATCHETTS HILL RD, OLD LYME, CT 06371(800) 370-3651(877) 515-7147 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Karen G Donovan NPPES

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

KAREN G DONOVAN (NPI 1154591394) is an individual gerontology provider in Old Lyme, Connecticut, licensed in Connecticut (004648) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Texas Medical School At Houston (2007).

NPPES Registry Identity

NPI1154591394
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKAREN G DONOVAN
Location Address55 HATCHETTS HILL RDOld Lyme, CT 06371-1534
Mailing Address55 Hatchetts Hill RdOld Lyme, CT 06371-1534 · (800) 370-3651 · Fax (877) 515-7147
Phone(800) 370-3651
Fax(877) 515-7147
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2007
Enumeration DateMarch 4, 2008
Last NPPES UpdateMarch 17, 2018
✔ NPI 1154591394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Licenses✔ Licensed in CT · 004648✔ Licensed in TX · 712085
55 HATCHETTS HILL RD, Old Lyme, CT 06371
Open in Google Maps ↗

Secondary Practice Location 1

Location 11504 Taub LoopHouston, TX 77030-1608 · Phone (713) 873-2000

Other Identifiers 1

Medicaid008046486CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Karen G Donovan 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 ID1456422203
PECOS Enrollment IDI20160607002477
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 5

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
888 services194 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
271 services116 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
68 services67 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
58 services41 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06371 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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 17

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

LISA UMANITA LCSW
Social Worker (Clinical)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
WALTER KRAUSS
Psychologist
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
ELIZABETH WOOD
Psychologist
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
KELSEY OTT-SUDIK
Social Worker (Clinical)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
ELIZABETH GREEN
Social Worker (Clinical)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
ANGELA FARAH BALLAS APRN
Nurse Practitioner
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
KRISTIN HAMBIDGE PSYD
Psychologist (Clinical)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651
SHRAGIT GLAZMAN MD
Psychiatry & Neurology (Geriatric Psychiatry)
55 HATCHETTS HILL RD
OLD LYME, CT 06371
Lower Connecticut River Valley Planning Region (800) 370-3651

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 Karen Donovan's NPI number?

The NPI number for Karen Donovan is 1154591394. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Karen Donovan located?

Karen Donovan practices at 55 Hatchetts Hill Rd, Old Lyme, CT 06371. The listed phone number is (800) 370-3651.

What is Karen Donovan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Karen Donovan enrolled in Medicare?

Yes. Karen Donovan 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 Karen Donovan accept?

Health plans from Providence Health Plan list Karen Donovan 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.

When was this NPI record last updated?

The NPPES record for Karen Donovan was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.