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DR. DONNA J.C. FANELLI DNP
NPI 1750362679
Nurse Practitioner - Adult Health in New York, NY

Active since November 08, 2005PECOS Enrolled
120 PARK AVE, LOWER LEVEL C, NEW YORK, NY 10017(646) 324-9461(646) 324-1020 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donna J.c. Fanelli Dnp NPPES

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

DR. DONNA J.C. FANELLI DNP (NPI 1750362679) is an individual adult health provider in New York, New York, licensed in New York (F303208-1) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750362679
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameDR. DONNA J.C. FANELLICredential: DNP
Location Address120 PARK AVE, LOWER LEVEL CNew York, NY 10017-5577
Mailing AddressAdvantagecare Physicians, Pc, 55 Water Street 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Phone(646) 324-9461
Fax(646) 324-1020
Sole ProprietorYes
Enumeration DateNovember 8, 2005
Last NPPES UpdateDecember 2, 2019
✔ NPI 1750362679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NY · F303208-1✔ Licensed in NJ · 26NN06605500
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 26NN06605500 (NJ), F430118-1 (NY)
120 PARK AVE, New York, NY 10017
Open in Google Maps ↗

Other Identifiers 6

Other123NJ · Cigna
Medicaid0067199NJ
Other3598174NJ · Oxford
Other2K9125NJ · Health Net
Other286989NJ · Amerigroup
Other2517320NJ · United Healthcare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donna J.c. Fanelli Dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10017 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 2

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

TRACY SMALL APN
Nurse Practitioner (Family)
120 PARK AVE
NEW YORK, NY 10017
New York County (646) 324-2244
PREMISE HEALTH OF NEW YORK MEDICAL PC
Clinic/Center
120 PARK AVE, LOWER LEVEL C
NEW YORK, NY 10017
New York County (646) 324-2244

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 Donna Fanelli's NPI number?

The NPI number for Donna Fanelli is 1750362679. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Donna Fanelli located?

Donna Fanelli practices at 120 Park Ave Lower Level C, New York, NY 10017. The listed phone number is (646) 324-9461.

What is Donna Fanelli's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Donna Fanelli enrolled in Medicare?

Yes. Donna Fanelli is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Donna Fanelli was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.