DONNA MARIE MCDONALD APRN
NPI 1760858211
Nurse Practitioner - Psychiatric/Mental Health in Providence, RI

Q: What is Donna Mcdonald's NPI number?

The NPI number for Donna Mcdonald is 1760858211. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Donna Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Donna Mcdonald was last updated on July 12, 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.

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment

1075 SMITH ST STE 2, PROVIDENCE, RI 02908(401) 369-9224(401) 369-9275 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2023, Oct 19, 2022, Sep 28, 2022 (3 updates tracked since 2022).

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About Donna Marie Mcdonald Aprn NPPES

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

DONNA MARIE MCDONALD APRN (NPI 1760858211) is an individual psychiatric/mental health provider in Providence, Rhode Island, licensed in Rhode Island (APRN03221) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1760858211

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDONNA MARIE MCDONALDCredential: APRN

Location Address1075 SMITH ST STE 2Providence, RI 02908-2700

Mailing Address1075 Smith St Ste 2Providence, RI 02908-2700 · (401) 369-9224 · Fax (401) 369-9275

Phone(401) 369-9224

Fax(401) 369-9275

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 19, 2015

Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1760858211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in RI · APRN03221

Also ListedRegistered NurseTaxonomy 163W00000X · License RN48817 (RI)

1075 SMITH ST STE 2, Providence, RI 02908

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Secondary Practice Location 1

Location 1345 Blackstone BlvdProvidence, RI 02906-4800 · Phone (401) 455-6346 · Fax (401) 455-6532

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Donna Marie Mcdonald Aprn 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 ID2860861705

PECOS Enrollment IDI20221215000685

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

Medicare enrollment records show Donna Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Behavioral Health Associates Inc

Same address

Clinical

1075 SMITH ST
Providence, RI 02908

Reassigned Medicare billing, Rhode Island enrollment
27 clinicians in this Medicare group

NPI 1023142700 (401) 369-9224

Affinity Physicians LLC

2.9 mi

Anesthesiology

101 DUDLEY STREET, WIH DEPT OF ANESTHESIOLOGY
Providence, RI 02905

Reassigned Medicare billing, Rhode Island enrollment
984 clinicians in this Medicare group

NPI 1053038471 (401) 274-1122

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

75 services16 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

49 services13 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 11

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

MRS. KATHRYN EMILY FREDETTE PMHNP

Student in an Organized Health Care Education/Training Program