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KRISTEN MARY DONNELLY PA-C, MPAS, MPH
NPI 1285217638
Physician Assistant in Clinton, MD

Active since May 04, 2021PECOS EnrolledAccepts Medicare Assignment
76.55/100
CMS Quality Rating
10401 HOSPITAL DR STE 101, CLINTON, MD 20735(301) 856-2323 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 19, 2021, Jul 15, 2021, May 4, 2021 (3 updates tracked since 2021).

About Kristen Mary Donnelly Pa-c, Mpas, Mph NPPES

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

KRISTEN MARY DONNELLY PA-C, MPAS, MPH (NPI 1285217638) is an individual physician assistant in Clinton, Maryland, licensed in Maryland (C0008017) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285217638
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN MARY DONNELLYCredential: PA-C, MPAS, MPH
Location Address10401 HOSPITAL DR STE 101Clinton, MD 20735-3150
Mailing Address10401 Hospital Dr Ste 101Clinton, MD 20735-3150 · (301) 856-2323 · Fax (855) 385-5335
Phone(301) 856-2323
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 4, 2021
Last NPPES UpdateMarch 15, 20223 updates tracked since enumeration
NPPES CertifiedMarch 15, 2022
✔ NPI 1285217638 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 MD · C0008017
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.
10401 HOSPITAL DR STE 101, Clinton, MD 20735
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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

Kristen Mary Donnelly Pa-c, Mpas, Mph 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 ID8527453042
PECOS Enrollment IDI20220321001413, I20220321001951
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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 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.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

76.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.16
Promoting Interoperability100
Improvement Activities40
Cost55.94

Other Providers at the Same Location NPPES 3

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

ELIZABETH GARCIA PA-C
Physician Assistant
10401 HOSPITAL DR STE 101
CLINTON, MD 20735
Prince George's County (301) 856-2323
REAGAN DENISE MONTEITH PA-C
Physician Assistant
10401 HOSPITAL DR STE 101
CLINTON, MD 20735
Prince George's County (301) 856-2323
MRS. HEATHER LYNN BECK PA-C
Physician Assistant (Medical)
10401 HOSPITAL DR STE 101
CLINTON, MD 20735
Prince George's County (301) 856-2323

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 Kristen Donnelly's NPI number?

The NPI number for Kristen Donnelly is 1285217638. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Where is Kristen Donnelly located?

Kristen Donnelly practices at 10401 Hospital Dr Ste 101, Clinton, MD 20735. The listed phone number is (301) 856-2323.

What is Kristen Donnelly's specialty?

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

Is Kristen Donnelly enrolled in Medicare?

Yes. Kristen Donnelly 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.

Is Kristen Donnelly affiliated with any hospitals?

According to CMS data, Kristen Donnelly is affiliated with Medstar Saint Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Donnelly was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.