CAROLINE MCDONALD N.P,
NPI 1528028198
Nurse Practitioner - Neonatal, Critical Care in Worcester, MA

Active since March 27, 2006PECOS Enrolled
119 BELMONT ST, WORCESTER, MA 01605(508) 334-6206(508) 334-6083 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 16, 2020, Sep 19, 2018, Aug 14, 2017 and 1 more (4 updates tracked since 2016).

About Caroline Mcdonald N.p, NPPES

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

CAROLINE MCDONALD N.P, (NPI 1528028198) is an individual neonatal, critical care provider in Worcester, Massachusetts, licensed in Connecticut (005959) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528028198
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameCAROLINE MCDONALDCredential: N.P,
Location Address119 BELMONT STWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(508) 334-6083
Sole ProprietorNo
Enumeration DateMarch 27, 2006
Last NPPES UpdateNovember 16, 20204 updates tracked since enumeration
NPPES CertifiedNovember 16, 2020
✔ NPI 1528028198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
Licenses✔ Licensed in CT · 005959✔ Licensed in MA · RN224809
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN224809 (MA)
Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License RN224809 (MA)
119 BELMONT ST, Worcester, MA 01605

Other Identifiers 2

OtherS400330096MA · Medicare
Medicaid110013857AMA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline Mcdonald N.p, 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

2

Medicare enrollment records show Caroline Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
55 LAKE AVE N
Worcester, MA 01655
  • Reassigned Medicare billing, Massachusetts enrollment
  • 2,902 clinicians in this Medicare group
Family Medicine
320 POMFRET STREET
Putnam, CT 06260
  • Reassigned Medicare billing, Connecticut enrollment
  • 163 clinicians in this Medicare group

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 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605

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 Mcdonald's NPI number?

The NPI number for Caroline Mcdonald is 1528028198. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Caroline Mcdonald located?

Caroline Mcdonald practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-6206.

What is Caroline Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Caroline Mcdonald enrolled in Medicare?

Yes. Caroline Mcdonald is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Caroline Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Mcdonald reassigns Medicare benefits to 2 organizations: Umass Memorial Medical Group Inc (Worcester, MA) and Day Kimball Medical Group Inc (Putnam, CT). 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 Caroline Mcdonald'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 Caroline Mcdonald was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.