1. Home
  2. Directory
  3. Connecticut
  4. Middletown
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DONNA MARIE MCKINNON APN
NPI 1437653425
Nurse Practitioner - Psychiatric/Mental Health in Middletown, CT

Active since March 22, 2018PECOS EnrolledAccepts Medicare Assignment
675 MAIN ST, MIDDLETOWN, CT 06457(860) 347-6971(860) 343-7379 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 4, 2026, Aug 11, 2026, Jun 5, 2026 and 4 more (7 updates tracked since 2018).

About Donna Marie Mckinnon Apn NPPES

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

DONNA MARIE MCKINNON APN (NPI 1437653425) is an individual psychiatric/mental health provider in Middletown, Connecticut, licensed in Connecticut (17804) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1437653425
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDONNA MARIE MCKINNONCredential: APN
Location Address675 MAIN STMiddletown, CT 06457-2732
Mailing Address19 Grand StMiddletown, CT 06457-2705 · (860) 347-6971 · Fax (860) 343-7379
Phone(860) 347-6971
Fax(860) 343-7379
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 22, 2018
Last NPPES UpdateSeptember 4, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1437653425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CT · 17804✔ Licensed in NJ · 26NJ00811900
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 17804 (CT), SP025268 (PA)
675 MAIN ST, Middletown, CT 06457
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1550 Broad St Ste 606Newark, NJ 07102-4537 · Phone (201) 822-1161
Location 255 Route 70 E Ste 3Marlton, NJ 08053-1769 · Phone (908) 782-1300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Donna Marie Mckinnon Apn 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 ID2062760754
PECOS Enrollment IDI20180813002901
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

6

Medicare enrollment records show Donna Mckinnon reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Py Physician Services LLC
83 mi
Internal Medicine
6136 170TH ST APT M4
Fresh Meadows, NY 11365
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1578267852 (718) 704-0940
Jls Medical PC
97 mi
Psychiatry
550 BROAD ST STE 606
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 141 clinicians in this Medicare group
NPI 1164007043 (201) 822-1161
Urgent Care Physicians Of New Jersey, LLC
112 mi
Emergency Medicine
46 NEWMAN SPRINGS RD E STE F
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 160 clinicians in this Medicare group
NPI 1447622402 (973) 630-8947
Hackensack Meridian Health Medical Group - Primary Care PC
114 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800
Consensus Medical Group LLC
124 mi
Internal Medicine
2399 ROUTE 34 BLDG A5
Manasquan, NJ 08736
  • Reassigned Medicare billing, New Jersey enrollment
  • 150 clinicians in this Medicare group
NPI 1811466881 (732) 528-5533
Barron Emergency Physicians LLC
154 mi
Emergency Medicine
1140 ROUTE 72 W
Manahawkin, NJ 08050
  • Reassigned Medicare billing, New Jersey enrollment
  • 239 clinicians in this Medicare group
NPI 1790736940 (954) 939-5000

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

Areas of Expertise CMS Part B claims

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.

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.
44 services43 patients

Hospital Affiliations CMS Care Compare

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%509 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%238 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%350 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%350 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%350 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%350 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

RACHEL MIRIAM BONAPARTE LCSW
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (203) 347-6971
LISBETH ANE GREIST LCSW, LPCA
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
DAVID PAPCIN JR. RN
Registered Nurse
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MATTHEW HUDDLESTON MD
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
ELIZABETH HAVICAN LMFT
Marriage & Family Therapist
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
DIANA MENDOZA
Student in an Organized Health Care Education/Training Program
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MEREDITH CAMPBELL APRN, FNP-C
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
LYNN M TAYLOR APRN
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971

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 Donna Mckinnon's NPI number?

The NPI number for Donna Mckinnon is 1437653425. It was assigned to this individual provider in the NPPES registry on March 22, 2018.

Where is Donna Mckinnon located?

Donna Mckinnon practices at 675 Main St, Middletown, CT 06457. The listed phone number is (860) 347-6971.

What is Donna Mckinnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Donna Mckinnon enrolled in Medicare?

Yes. Donna Mckinnon 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.

Which organizations bill Medicare for Donna Mckinnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Mckinnon reassigns Medicare benefits to 6 organizations: Py Physician Services LLC (Fresh Meadows, NY), Jls Medical PC (Newark, NJ), Urgent Care Physicians Of New Jersey, LLC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ), Consensus Medical Group LLC (Manasquan, NJ) and 1 more organization, listed in the Medicare section above. 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 Donna Mckinnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donna Mckinnon accept?

Health plans from Oscar Health list Donna Mckinnon 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.

Is Donna Mckinnon affiliated with any hospitals?

According to CMS data, Donna Mckinnon is affiliated with Morristown Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Mckinnon was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days 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.