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MRS. SALLY CATHERINE DONNELLY NP
NPI 1598318966
Nurse Practitioner - Family in Spartanburg, SC

Active since July 24, 2019PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1200 E MAIN ST STE 12, SPARTANBURG, SC 29307(864) 560-9260(864) 560-9265 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 17, 2023, Dec 22, 2020, Jan 13, 2020 and 3 more (6 updates tracked since 2019).

About Mrs. Sally Catherine Donnelly Np NPPES

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

MRS. SALLY CATHERINE DONNELLY NP (NPI 1598318966) is an individual family provider in Spartanburg, South Carolina, licensed in South Carolina (216119) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1598318966
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SALLY CATHERINE DONNELLYCredential: NP
Location Address1200 E MAIN ST STE 12Spartanburg, SC 29307-1738
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-9260
Fax(864) 560-9265
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 24, 2019
Last NPPES UpdateMarch 17, 20236 updates tracked since enumeration
NPPES CertifiedMarch 17, 2023
✔ NPI 1598318966 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 SC · 216119
Also ListedNurse PractitionerTaxonomy 363L00000X · License 216119 (SC)
1200 E MAIN ST STE 12, Spartanburg, SC 29307
Open in Google Maps ↗

Other Identifiers 6

MedicaidNP6239SC
OtherSCG2815019SC · Medicare Pin
OtherSCG281J577SC · Medicare Pin
OtherSCG2816121SC · Medicare Pin
OtherSCG2816084SC · Medicare Pin
OtherSCG2816067SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Mrs. Sally Catherine Donnelly Np 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 ID9638501414
PECOS Enrollment IDI20191115002243
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 Sally Donnelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
0.1 mi
Urgent Care
1200 E MAIN ST, SUITE 12
Spartanburg, SC 29307
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1073911285 (South Carolina), NPI 1174092449 (South Carolina)
  • 814 clinicians in this Medicare group
NPI 1083953491 (864) 560-9260
Cherokee Medical Center
14 mi
Family Medicine
722 HYATT ST STE C
Gaffney, SC 29341
  • Reassigned Medicare billing, South Carolina enrollment
  • 139 clinicians in this Medicare group
NPI 1821649393 (864) 487-2400
Union Medical Center
21 mi
Obstetrics & Gynecology
1201 FURMAN L FENDLEY HWY STE C
Union, SC 29379
  • Reassigned Medicare billing, South Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1275035255 (864) 427-8380

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 29307 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$6.15 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 10

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

MICHELLE RAE BLAIR NP-C
Nurse Practitioner (Family)
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Spartanburg County (864) 560-9260
ALLISON HALL FNP
Nurse Practitioner (Family)
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Spartanburg County (864) 560-9260
DR. GARY D. RAUCH M.D.
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Spartanburg County (864) 560-9260
DR. MICHAEL JOSEPH BELL DO
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Spartanburg County (864) 560-9260
SAMANTHA MARIA RIKABI DO
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Spartanburg County (864) 560-9260
MICAH LORN MORGAN DO
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Spartanburg County (864) 560-9260
KATHERINE ELIZABETH ENOS D.O.
Family Medicine
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Spartanburg County (864) 560-9260
MRS. MELISSA LYNN HAWVER PA
Physician Assistant (Medical)
1200 E MAIN ST STE 12
SPARTANBURG, SC 29307
Spartanburg County (864) 560-9260

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 Sally Donnelly's NPI number?

The NPI number for Sally Donnelly is 1598318966. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Sally Donnelly located?

Sally Donnelly practices at 1200 E Main St Ste 12, Spartanburg, SC 29307. The listed phone number is (864) 560-9260.

What is Sally Donnelly's specialty?

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

Is Sally Donnelly enrolled in Medicare?

Yes. Sally Donnelly 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 Sally Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Donnelly reassigns Medicare benefits to 3 organizations: Spartanburg Medical Center (Spartanburg, SC), Cherokee Medical Center (Gaffney, SC) and Union Medical Center (Union, SC). 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 Sally Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Donnelly accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and InStil Health and 1 other insurer list Sally Donnelly 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.

When was this NPI record last updated?

The NPPES record for Sally Donnelly was last updated on March 17, 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.