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BROOKE MACKENZIE DONNELLAN
NPI 1235904236
Physician Assistant in Bridgeport, CT

Active since November 20, 2023PECOS EnrolledAccepts Medicare Assignment
2800 MAIN ST, BRIDGEPORT, CT 06606(203) 576-6000 Get Directions Write a Review

NPPES record last updated: March 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brooke Mackenzie Donnellan NPPES

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

BROOKE MACKENZIE DONNELLAN (NPI 1235904236) is an individual physician assistant in Bridgeport, Connecticut, licensed in Connecticut (6495) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235904236
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE MACKENZIE DONNELLAN
Location Address2800 MAIN STBridgeport, CT 06606-4292
Mailing Address26 Hunts Brook RdQuaker Hill, CT 06375-1009
Phone(203) 576-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 20, 2023
Last NPPES UpdateMarch 27, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1235904236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CT · 6495
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2800 MAIN ST, Bridgeport, CT 06606
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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

Brooke Mackenzie Donnellan 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 ID6204274277
PECOS Enrollment IDI20240410000454
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06606 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
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

JENNIFER GODWIN OKON M.D
Student in an Organized Health Care Education/Training Program
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
CAITLIN VAN ESS CRNA
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (860) 576-5000
DR. FRANK RAYMOND SCIFO M.D.
Family Medicine
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-5986
KATHRYN LOHOTSKY JAFFER CRNA
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
CLEOFAS ESPINOZA CRNA
Nurse Anesthetist, Certified Registered
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
PETER JAKUBOWSKI
Nurse Anesthetist, Certified Registered
2800 MAIN ST, ST VINCENTS MEDICAL CENTER
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 929-7353
DANIEL PAOLETTI PA-C
Physician Assistant (Medical)
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (203) 576-6000
DR. MATTHEW ALAZAR MICHAEL MD
Student in an Organized Health Care Education/Training Program
2800 MAIN ST
BRIDGEPORT, CT 06606
Greater Bridgeport Planning Region (475) 210-5791

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 Brooke Donnellan's NPI number?

The NPI number for Brooke Donnellan is 1235904236. It was assigned to this individual provider in the NPPES registry on November 20, 2023.

Where is Brooke Donnellan located?

Brooke Donnellan practices at 2800 Main St, Bridgeport, CT 06606. The listed phone number is (203) 576-6000.

What is Brooke Donnellan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brooke Donnellan enrolled in Medicare?

Yes. Brooke Donnellan 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.

When was this NPI record last updated?

The NPPES record for Brooke Donnellan was last updated on March 27, 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.