MISS EILEEN MARIE DONNELLY PA
NPI 1558435297
Physician Assistant - Medical in Santa Cruz, CA

Q: What is Eileen Donnelly's NPI number?

The NPI number for Eileen Donnelly is 1558435297. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Eileen Donnelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Eileen Donnelly was last updated on December 7, 2022. 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.

Active since November 17, 2006PECOS Enrolled

1510 CAPITOLA RD, SANTA CRUZ, CA 95062(831) 427-3500 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 7, 2022, Oct 11, 2021 (2 updates tracked since 2021).

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About Miss Eileen Marie Donnelly Pa NPPES

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

MISS EILEEN MARIE DONNELLY PA (NPI 1558435297) is an individual medical provider in Santa Cruz, California, licensed in California (PA11304) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558435297

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMISS EILEEN MARIE DONNELLYCredential: PA

Location Address1510 CAPITOLA RDSanta Cruz, CA 95062-2912

Mailing AddressPo Box 542Santa Cruz, CA 95061-0542 · (831) 427-3500

Phone(831) 427-3500

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateDecember 7, 20222 updates tracked since enumeration

NPPES CertifiedDecember 7, 2022

✔ NPI 1558435297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA11304

1510 CAPITOLA RD, Santa Cruz, CA 95062

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Eileen Marie Donnelly Pa 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier13 claims13 services$3.02 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHLEEN C HILTON N.P.

Nurse Practitioner (Family)