KATHLEEN DONNELLY FNP
NPI 1790155638
Nurse Practitioner - Family in Saint Paul, MN
About Kathleen Donnelly Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN DONNELLY FNP (NPI 1790155638) is an individual family provider in Saint Paul, Minnesota, licensed in Minnesota (CNP 4210) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Kathleen Donnelly Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Paul, MN 55107
- Reassigned Medicare billing, Minnesota enrollment
- 101 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
W. ST. PAUL, MN 55107
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 Kathleen Donnelly's NPI number?
The NPI number for Kathleen Donnelly is 1790155638. It was assigned to this individual provider in the NPPES registry on October 5, 2015.
Where is Kathleen Donnelly located?
Kathleen Donnelly practices at 153 Cesar Chavez St, Saint Paul, MN 55107. The listed phone number is (651) 602-7552.
What is Kathleen Donnelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kathleen Donnelly enrolled in Medicare?
Yes. Kathleen 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.
Which organization bills Medicare for Kathleen Donnelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Donnelly reassigns Medicare benefits to West Side Community Health Services, Inc (Saint Paul, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Donnelly accept?
Health plans from HealthPartners list Kathleen Donnelly 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.
When was this NPI record last updated?
The NPPES record for Kathleen Donnelly was last updated on September 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.
# Kathleen Donnelly, FNP · NPI 1790155638
Family physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since October 5, 2015.
## Identity
- **NPI:** 1790155638 (Entity type: Individual)
- **Enumerated:** October 5, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP 4210 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 153 CESAR CHAVEZ ST, Saint Paul, MN 55107-2226
- **Phone:** (651) 602-7552 · **Fax:** (651) 602-7580
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** West Side Community Health Services, Inc (NPI 1437118619, Saint Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790155638) · Data from the CMS NPPES public registry.