CASEY OWEN DONOVAN
NPI 1326919424
Nurse Practitioner - Family in Fulton, NY

Active since September 13, 2025PECOS EnrolledAccepts Medicare Assignment
522 S 4TH ST STE 1700, FULTON, NY 13069(315) 592-3930 Get Directions Write a Review

NPPES record last updated: September 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Casey Owen Donovan NPPES

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

CASEY OWEN DONOVAN (NPI 1326919424) is an individual family provider in Fulton, New York, licensed in New York (357028) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1326919424
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCASEY OWEN DONOVAN
Location Address522 S 4TH ST STE 1700Fulton, NY 13069-2918
Mailing Address110 W 6th StOswego, NY 13126-2507 · (315) 349-5511
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 13, 2025
NPPES CertifiedSeptember 13, 2025
NPI 1326919424 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 NY · 357028
522 S 4TH ST STE 1700, Fulton, NY 13069

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Casey Owen 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 ID244723153
PECOS Enrollment IDI20251201000017
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.

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13069 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

Family Medicine
522 S 4TH ST STE 1700
FULTON, NY 13069
Physician Assistant
522 S 4TH ST STE 1700
FULTON, NY 13069
Internal Medicine (Infectious Disease)
522 S 4TH ST STE 1700
FULTON, NY 13069

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 Casey Donovan's NPI number?

The NPI number for Casey Donovan is 1326919424. It was assigned to this individual provider in the NPPES registry on September 13, 2025.

Where is Casey Donovan located?

Casey Donovan practices at 522 S 4th St Ste 1700, Fulton, NY 13069. The listed phone number is (315) 592-3930.

What is Casey Donovan's specialty?

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

Is Casey Donovan enrolled in Medicare?

Yes. Casey 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.

Is Casey Donovan affiliated with any hospitals?

According to CMS data, Casey Donovan is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Casey Donovan was last updated on September 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.