JOHN DONEHEY MSN
NPI 1609531110
Nurse Practitioner - Acute Care in Nashville, TN

Active since November 01, 2021PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232(615) 322-3000 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 17, 2022, Nov 24, 2021, Nov 2, 2021 (3 updates tracked since 2021).

About John Donehey Msn NPPES

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

JOHN DONEHEY MSN (NPI 1609531110) is an individual acute care provider in Nashville, Tennessee, licensed in Tennessee (30542) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1609531110
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOHN DONEHEYCredential: MSN
Location Address3601 THE VANDERBILT CLINICNashville, TN 37232-0001
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 1, 2021
Last NPPES UpdateMarch 31, 20223 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
NPI 1609531110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in TN · 30542
3601 THE VANDERBILT CLINIC, Nashville, TN 37232

Secondary Practice Location 1

Location 1The Vanderbilt Clinic 1301 Medical Center DriveNashville, TN 37232-0001 · Phone (615) 936-5321

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John Donehey Msn 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 ID2860882909
PECOS Enrollment IDI20211206000555
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.

Hospital Affiliations CMS Care Compare

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers23 claims690 services$5.51 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers180 claims21,735 services$0.30 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers28 claims5,160 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
9 suppliers145 claims145 services$18.75 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers83 claims88 services$12.60 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.

Pediatrics (Pediatric Cardiology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Acute Care)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner (Pediatrics)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Internal Medicine (Pulmonary Disease)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Family Medicine
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Psychologist (Clinical Child & Adolescent)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Nurse Practitioner
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232
Surgery (Surgical Oncology)
3601 THE VANDERBILT CLINIC
NASHVILLE, TN 37232

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 John Donehey's NPI number?

The NPI number for John Donehey is 1609531110. It was assigned to this individual provider in the NPPES registry on November 1, 2021.

Where is John Donehey located?

John Donehey practices at 3601 The Vanderbilt Clinic, Nashville, TN 37232. The listed phone number is (615) 322-3000.

What is John Donehey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is John Donehey enrolled in Medicare?

Yes. John Donehey 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.

What insurance does John Donehey accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list John Donehey 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 John Donehey affiliated with any hospitals?

According to CMS data, John Donehey is affiliated with Vanderbilt University Medical Center.

When was this NPI record last updated?

The NPPES record for John Donehey was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.