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KELLY D DONOHO APN
NPI 1407299704
Nurse Practitioner - Family in Urbana, IL

Active since April 17, 2013PECOS Enrolled
611 W PARK ST, URBANA, IL 61801(217) 383-3266 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 1, 2024, Feb 10, 2023, Jan 6, 2022 and 1 more (4 updates tracked since 2020).

About Kelly D Donoho Apn NPPES

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

KELLY D DONOHO APN (NPI 1407299704) is an individual family provider in Urbana, Illinois, licensed in Illinois (209010576) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Champaign.

NPPES Registry Identity

NPI1407299704
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY D DONOHOCredential: APN
Location Address611 W PARK STUrbana, IL 61801-2501
Mailing Address611 W Park St, FapcUrbana, IL 61801-2500
Phone(217) 383-3266
Sole ProprietorNo
Enumeration DateApril 17, 2013
Last NPPES UpdateApril 1, 20244 updates tracked since enumeration
NPPES CertifiedMarch 28, 2024
✔ NPI 1407299704 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 IL · 209010576
611 W PARK ST, Urbana, IL 61801
Open in Google Maps ↗

Other Names 1

Former Name (1)Kelly D Bryant

Secondary Practice Location 1

Location 11801 W Windsor RdChampaign, IL 61822-6217 · Phone (217) 366-8130 · Fax (217) 366-7488

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly D Donoho Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kelly Donoho reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Christie Clinic, PLLC
0.5 mi
Internal Medicine
101 W UNIVERSITY AVE
Champaign, IL 61820
  • Reassigned Medicare billing, Illinois enrollment
  • 289 clinicians in this Medicare group
NPI 1871523829 (217) 366-1200
Carle Health Medical Group
0.7 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Sarah Bush Lincoln Health Center
43 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

DR. UDAY BHASKAR KANAKADANDI MD
Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Champaign County (217) 383-3110
DR. VIKAS DESAI MD
Urology
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3160
ANUJA BEDI D.O, M.P.H
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
EMILY REMINGTON NP
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3140
MAHMOUD ELRAKHAWY MD
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 904-7000
KENDALL E WALLACE APRN
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
ANNE FAHNESTOCK PT
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 383-3311
TIMTIM APPERSON APRN
Family Medicine
611 W PARK ST
URBANA, IL 61801
Champaign County (217) 954-2805

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 Kelly Donoho's NPI number?

The NPI number for Kelly Donoho is 1407299704. It was assigned to this individual provider in the NPPES registry on April 17, 2013. The provider is also known as Kelly D Bryant.

Where is Kelly Donoho located?

Kelly Donoho practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3266.

What is Kelly Donoho's specialty?

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

Is Kelly Donoho enrolled in Medicare?

Yes. Kelly Donoho is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Donoho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Donoho reassigns Medicare benefits to 3 organizations: Christie Clinic, PLLC (Champaign, IL), Carle Health Medical Group (Urbana, IL) and Sarah Bush Lincoln Health Center (Mattoon, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Donoho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Donoho was last updated on April 1, 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.