MRS. MARJORIE MARIE DONNELLY ARNP
NPI 1639596125
Nurse Practitioner in Jacksonville, FL

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
836 PRUDENTIAL DR STE 1400, JACKSONVILLE, FL 32207(904) 388-6518(904) 384-1005 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Marjorie Marie Donnelly Arnp NPPES

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

MRS. MARJORIE MARIE DONNELLY ARNP (NPI 1639596125) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP9175372) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1639596125
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARJORIE MARIE DONNELLYCredential: ARNP
Location Address836 PRUDENTIAL DR STE 1400Jacksonville, FL 32207-8340
Mailing AddressPo Box 746647Atlanta, GA 30374-6647 · (904) 202-2092 · Fax (904) 376-4075
Fax(904) 384-1005
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 24, 2014
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
NPI 1639596125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · ARNP9175372
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
836 PRUDENTIAL DR STE 1400, Jacksonville, FL 32207

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

Mrs. Marjorie Marie Donnelly Arnp 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 ID42442519
PECOS Enrollment IDI20140416000028
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Nurse Practitioner (Family)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Neurological Surgery
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Nurse Practitioner
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Psychiatry & Neurology (Neurocritical Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Nurse Practitioner (Acute Care)
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207
Neurological Surgery
836 PRUDENTIAL DR STE 1400
JACKSONVILLE, FL 32207

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 Marjorie Donnelly's NPI number?

The NPI number for Marjorie Donnelly is 1639596125. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Marjorie Donnelly located?

Marjorie Donnelly practices at 836 Prudential Dr Ste 1400, Jacksonville, FL 32207. The listed phone number is (904) 388-6518.

What is Marjorie Donnelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marjorie Donnelly enrolled in Medicare?

Yes. Marjorie 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.

When was this NPI record last updated?

The NPPES record for Marjorie Donnelly was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.