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CAROLINE L DONLON FNP-C
NPI 1508641572
Nurse Practitioner - Family in Oneonta, NY

Active since August 29, 2023PECOS EnrolledAccepts Medicare Assignment
739 STATE ROUTE 28 STE 9, ONEONTA, NY 13820(607) 431-1015(607) 431-1050 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Caroline L Donlon Fnp-c NPPES

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

CAROLINE L DONLON FNP-C (NPI 1508641572) is an individual family provider in Oneonta, New York, licensed in New York (352803) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Oneida Health Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508641572
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROLINE L DONLONCredential: FNP-C
Location Address739 STATE ROUTE 28 STE 9Oneonta, NY 13820
Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (076) 547-3456
Phone(607) 431-1015
Fax(607) 431-1050
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 29, 2023
Last NPPES UpdateSeptember 29, 2023
NPPES CertifiedSeptember 29, 2023
✔ NPI 1508641572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 352803
Also ListedRegistered NurseTaxonomy 163W00000X · License 646085 (NY)
739 STATE ROUTE 28 STE 9, Oneonta, NY 13820
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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

Caroline L Donlon Fnp-c 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 ID1850746751
PECOS Enrollment IDI20231012002544
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 Reassignment

Medicare enrollment records show Caroline Donlon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Imogene Bassett Hospital
18 mi
Multi-Specialty
1 ATWELL RD
Cooperstown, NY 13326
  • Reassigned Medicare billing, New York enrollment
  • 1,052 clinicians in this Medicare group
NPI 1083664221 (607) 547-6858

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 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.
76 services54 patients

Hospital Affiliations CMS Care Compare 2

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

Oneida Health Hospital

Acute Care Hospitals · Oneida, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330115
Location321 Genesee StreetOneida, NY 13421 · Madison County
Emergency services Birthing friendly

Bassett Healthcare

Acute Care Hospitals · Cooperstown, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330136
LocationOne Atwell RoadCooperstown, NY 13326 · Otsego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13820 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.

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 Caroline Donlon's NPI number?

The NPI number for Caroline Donlon is 1508641572. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Caroline Donlon located?

Caroline Donlon practices at 739 State Route 28 Ste 9, Oneonta, NY 13820. The listed phone number is (607) 431-1015.

What is Caroline Donlon's specialty?

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

Is Caroline Donlon enrolled in Medicare?

Yes. Caroline Donlon 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 organization bills Medicare for Caroline Donlon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Donlon reassigns Medicare benefits to Mary Imogene Bassett Hospital (Cooperstown, NY). The 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 Caroline Donlon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Caroline Donlon affiliated with any hospitals?

According to CMS data, Caroline Donlon is affiliated with Oneida Health Hospital and Bassett Healthcare.

When was this NPI record last updated?

The NPPES record for Caroline Donlon was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.