KATHLEEN DONNELLY FNP
NPI 1790155638
Nurse Practitioner - Family in Saint Paul, MN

Active since October 05, 2015PECOS EnrolledAccepts Medicare Assignment
671 VANDALIA ST, SAINT PAUL, MN 55114(651) 698-2405 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790155638
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN DONNELLYCredential: FNP
Location Address671 VANDALIA STSaint Paul, MN 55114-1312
Mailing Address153 Cesar Chavez StSaint Paul, MN 55107-2226 · (651) 602-7552 · Fax (651) 602-7580
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 5, 2015
Last NPPES UpdateJanuary 22, 2018
NPI 1790155638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MN · CNP 4210
671 VANDALIA ST, Saint Paul, MN 55114

Accepted 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

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.

PECOS PAC ID547560005
PECOS Enrollment IDI20151204002514
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 55114 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Nurse Practitioner (Women's Health)
671 VANDALIA ST
SAINT PAUL, MN 55114
Physician Assistant
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Women's Health)
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Women's Health)
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Family)
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Family)
671 VANDALIA ST
SAINT PAUL, MN 55114
Advanced Practice Midwife
671 VANDALIA ST
SAINT PAUL, MN 55114
Nurse Practitioner (Women's Health)
671 VANDALIA ST
SAINT PAUL, MN 55114

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 671 Vandalia St, Saint Paul, MN 55114. The listed phone number is (651) 698-2405.

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.

What insurance does Kathleen Donnelly accept?

Health plans from HealthPartners and Medica 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 January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.