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MELISSA S DONAHUE NP
NPI 1821873092
Nurse Practitioner in Waukesha, WI

Active since August 28, 2023PECOS EnrolledAccepts Medicare Assignment
W231N1440 CORPORATE CT, WAUKESHA, WI 53186(262) 896-6000 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2023, Aug 28, 2023 (2 updates tracked since 2023).

About Melissa S Donahue Np NPPES

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

MELISSA S DONAHUE NP (NPI 1821873092) is an individual nurse practitioner in Waukesha, Wisconsin, licensed in Wisconsin (14443-33) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center - Summit, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821873092
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA S DONAHUECredential: NP
Location AddressW231N1440 CORPORATE CTWaukesha, WI 53186-1503
Mailing AddressW231n1440 Corporate CtWaukesha, WI 53186-1503 · (262) 896-6000
Phone(262) 896-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 28, 2023
Last NPPES UpdateDecember 11, 20232 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1821873092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 14443-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
W231N1440 CORPORATE CT, Waukesha, WI 53186
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Other Identifiers 1

Medicaid100258104WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners 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

Melissa S Donahue 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 ID7517316201
PECOS Enrollment IDI20231206002395
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 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 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.
73 services60 patients
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.
18 services16 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center - Summit

Acute Care Hospitals · Summit, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520206
Location36500 Aurora DriveSummit, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

RENELLE L STAUS NP
Nurse Practitioner
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6000
DR. MARC A BURRELL M.D.
Radiology (Vascular & Interventional Radiology)
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6000
DIGESTIVE DISEASE SPECIALISTS OF WI
Specialist
W231N1440 CORPORATE CT, SUITE 307
WAUKESHA, WI 53186
Waukesha County (262) 896-6400
YASMIN K BHATHENA MD
Pediatrics
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6000
DR. LUCELINA BADURA NP-C
Nurse Practitioner
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6030
MS. DEBRA MERKT OT
Occupational Therapist
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6045
ANJOO M GHARIA DO
Family Medicine
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6000
JOSEPH W SHEA MD
Obstetrics & Gynecology
W231N1440 CORPORATE CT
WAUKESHA, WI 53186
Waukesha County (262) 896-6000

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 Melissa Donahue's NPI number?

The NPI number for Melissa Donahue is 1821873092. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Melissa Donahue located?

Melissa Donahue practices at W231n1440 Corporate Ct, Waukesha, WI 53186. The listed phone number is (262) 896-6000.

What is Melissa Donahue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melissa Donahue enrolled in Medicare?

Yes. Melissa Donahue 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 Melissa Donahue accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list Melissa Donahue 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 Melissa Donahue affiliated with any hospitals?

According to CMS data, Melissa Donahue is affiliated with Aurora Medical Center - Summit.

When was this NPI record last updated?

The NPPES record for Melissa Donahue was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.