MADISON DONNELLY PA-C
NPI 1851119473
Physician Assistant in Latham, NY

Q: What is Madison Donnelly's NPI number?

The NPI number for Madison Donnelly is 1851119473. It was assigned to this individual provider in the NPPES registry on October 2, 2024.

Q: What is Madison Donnelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Donnelly was last updated on January 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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 October 02, 2024PECOS EnrolledAccepts Medicare Assignment

6 WELLNESS WAY STE 108, LATHAM, NY 12110(518) 370-7937(518) 377-2983 Get Directions Write a Review

NPPES record last updated: January 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2026, Feb 14, 2025, Oct 2, 2024 (3 updates tracked since 2024).

On this page

About Madison Donnelly Pa-c NPPES

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

MADISON DONNELLY PA-C (NPI 1851119473) is an individual physician assistant in Latham, New York, licensed in New York (033347) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1851119473

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADISON DONNELLYCredential: PA-C

Location Address6 WELLNESS WAY STE 108Latham, NY 12110-2142

Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799

Phone(518) 370-7937

Fax(518) 377-2983

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 2, 2024

Last NPPES UpdateJanuary 25, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2026

✔ NPI 1851119473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 033347

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6 WELLNESS WAY STE 108, Latham, NY 12110

Open in Google Maps ↗

Other Identifiers 1

Medicaid08166685NY

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

Madison Donnelly Pa-c 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 ID5092238329

PECOS Enrollment IDI20250327002481

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.

Hospital Affiliations CMS Care Compare

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

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330222

Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12110 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

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 9

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

MS. JENNIFER LYNN IOVINELLI FNP

Nurse Practitioner (Family)