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KIMBERLY DONNELLY
NPI 1851750988
Nurse Practitioner - Family in Kansas City, MO

Active since February 17, 2016PECOS EnrolledAccepts Medicare Assignment
4990 NE VIVION RD, KANSAS CITY, MO 64119(866) 389-2727 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 18, 2024, Nov 22, 2021, Dec 26, 2019 and 2 more (5 updates tracked since 2016).

About Kimberly Donnelly NPPES

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

KIMBERLY DONNELLY (NPI 1851750988) is an individual family provider in Kansas City, Missouri, licensed in Missouri (2016041687) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1851750988
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY DONNELLY
Location Address4990 NE VIVION RDKansas City, MO 64119-2935
Mailing Address315 W 75th StKansas City, MO 64114-5738 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 17, 2016
Last NPPES UpdateSeptember 18, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1851750988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2016041687
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2016041687 (MO)
4990 NE VIVION RD, Kansas City, MO 64119
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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

Kimberly Donnelly 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 ID8022314285
PECOS Enrollment IDI20170210000583
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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minuteclinic Diagnostic Of Kansas PA
20 mi
Family
11729 ROE AVE
Leawood, KS 66211
  • Reassigned Medicare billing, Missouri enrollment
  • 170 clinicians in this Medicare group
NPI 1629005558 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
45 services42 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
44 services44 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
42 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
16 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64119 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 $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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 3

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

KATHLEEN KINDER
Pharmacist
4990 NE VIVION RD
KANSAS CITY, MO 64119
Clay County (816) 454-8800
GAIL HUGHLEY APRN
Nurse Practitioner (Family)
4990 NE VIVION RD
KANSAS CITY, MO 64119
Clay County (866) 389-2727
MS. CONNIE L LAWSON FNP-C
Nurse Practitioner (Family)
4990 NE VIVION RD
KANSAS CITY, MO 64119
Clay County (816) 454-8800

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 Kimberly Donnelly's NPI number?

The NPI number for Kimberly Donnelly is 1851750988. It was assigned to this individual provider in the NPPES registry on February 17, 2016.

Where is Kimberly Donnelly located?

Kimberly Donnelly practices at 4990 NE Vivion Rd, Kansas City, MO 64119. The listed phone number is (866) 389-2727.

What is Kimberly Donnelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Donnelly enrolled in Medicare?

Yes. Kimberly 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 Kimberly Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Donnelly reassigns Medicare benefits to Minuteclinic Diagnostic Of Kansas PA (Leawood, KS). 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 Kimberly Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberly Donnelly was last updated on September 18, 2024. 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.