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MRS. DONNA PAULINE FOSTER NP
NPI 1780877589
Nurse Practitioner - Adult Health in Seymour, IN

Active since August 24, 2007PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
225 S PINE ST, JMB, 2ND FLOOR, SEYMOUR, IN 47274(812) 524-4265(812) 524-4269 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2023, Nov 2, 2018 (2 updates tracked since 2018).

About Mrs. Donna Pauline Foster Np NPPES

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

MRS. DONNA PAULINE FOSTER NP (NPI 1780877589) is an individual adult health provider in Seymour, Indiana, licensed in Indiana (71002436A) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1780877589
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. DONNA PAULINE FOSTERCredential: NP
Location Address225 S PINE ST, JMB, 2ND FLOORSeymour, IN 47274-2363
Mailing Address225 S Pine St, Jmb, 2nd FloorSeymour, IN 47274 · (812) 524-4265 · Fax (812) 524-4269
Phone(812) 524-4265
Fax(812) 524-4269
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 24, 2007
Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration
NPPES CertifiedAugust 14, 2023
✔ NPI 1780877589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71002436A
225 S PINE ST, JMB, 2ND FLOOR, Seymour, IN 47274
Open in Google Maps ↗

Other Identifiers 2

Other000000873389IN · Anthem
Medicaid200879670IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mrs. Donna Pauline Foster 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 ID1254428899
PECOS Enrollment IDI20071030000383
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.

Areas of Expertise CMS Part B claims 8

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.
123 services76 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
69 services59 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services22 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services15 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services17 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47274 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims27 services$18.85 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers25 claims25 services$8.12 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims33 services$111.08 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 4

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

DR. MICAH A FISCHER DO
Internal Medicine
225 S PINE ST, JMB, 2ND FLOOR
SEYMOUR, IN 47274
Jackson County (812) 524-4265
MS. RACHEL ELAINE HOEVENER NP
Nurse Practitioner (Family)
225 S PINE ST, JMB, 2ND FLOOR
SEYMOUR, IN 47274
Jackson County (812) 523-7466
MS. REBECCA J DARLAGE FNP
Nurse Practitioner (Family)
225 S PINE ST, JMB, 2ND FLOOR
SEYMOUR, IN 47274
Jackson County (812) 524-4265
MS. CASSANDRA C. GILPIN
Physician Assistant
225 S PINE ST, JMB, 2ND FLOOR
SEYMOUR, IN 47274
Jackson County (812) 523-7466

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 Foster's NPI number?

The NPI number for Donna Foster is 1780877589. It was assigned to this individual provider in the NPPES registry on August 24, 2007.

Where is Donna Foster located?

Donna Foster practices at 225 S Pine St, Jmb, 2nd Floor, Seymour, IN 47274. The listed phone number is (812) 524-4265.

What is Donna Foster's specialty?

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

Is Donna Foster enrolled in Medicare?

Yes. Donna Foster 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 Donna Foster accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Donna Foster 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 Donna Foster affiliated with any hospitals?

According to CMS data, Donna Foster is affiliated with Schneck Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Foster was last updated on August 14, 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.