KELLY A DONALD APN
NPI 1871231720
Nurse Practitioner - Psychiatric/Mental Health in Randolph, NJ

Active since May 20, 2022PECOS EnrolledAccepts Medicare Assignment
2 EMERY AVE, RANDOLPH, NJ 07869(973) 891-9500(973) 695-1484 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 2, 2025, May 20, 2022 (2 updates tracked since 2022).

About Kelly A Donald Apn NPPES

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

KELLY A DONALD APN (NPI 1871231720) is an individual psychiatric/mental health provider in Randolph, New Jersey, licensed in New Jersey (26NJ01312600) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871231720
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY A DONALDCredential: APN
Location Address2 EMERY AVERandolph, NJ 07869-1368
Mailing Address2 Emery AveRandolph, NJ 07869-1368 · (973) 219-2391
Fax(973) 695-1484
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 20, 2022
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1871231720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ01312600
2 EMERY AVE, Randolph, NJ 07869

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

Kelly A Donald Apn 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 ID9537549159
PECOS Enrollment IDI20220629000809
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 Reassignments

2

Medicare enrollment records show Kelly Donald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Psychiatry
14 RIDGEDALE AVE STE 103
Cedar Knolls, NJ 07927
  • Reassigned Medicare billing, New Jersey enrollment
  • 114 clinicians in this Medicare group
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07869 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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 14

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

Physical Therapy Assistant
2 EMERY AVE, SUITE 3
RANDOLPH, NJ 07869
Physical Therapist
2 EMERY AVE, SUITE 3
RANDOLPH, NJ 07869
Physical Therapist (Orthopedic)
2 EMERY AVE, SUITE 3
RANDOLPH, NJ 07869
Physical Therapy Assistant
2 EMERY AVE
RANDOLPH, NJ 07869
Physical Therapist
2 EMERY AVE
RANDOLPH, NJ 07869
Physical Therapist
2 EMERY AVE
RANDOLPH, NJ 07869
Physical Therapist
2 EMERY AVE, SUITE 3
RANDOLPH, NJ 07869
Physical Therapy Assistant
2 EMERY AVE
RANDOLPH, NJ 07869

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 Kelly Donald's NPI number?

The NPI number for Kelly Donald is 1871231720. It was assigned to this individual provider in the NPPES registry on May 20, 2022.

Where is Kelly Donald located?

Kelly Donald practices at 2 Emery Ave, Randolph, NJ 07869. The listed phone number is (973) 891-9500.

What is Kelly Donald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Donald enrolled in Medicare?

Yes. Kelly Donald 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 organizations bill Medicare for Kelly Donald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Donald reassigns Medicare benefits to 2 organizations: Nj Memory And Behavioral Care (Cedar Knolls, NJ) and Practice Associates Medical Group (Morristown, NJ). Each 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 Kelly Donald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Donald accept?

Health plans from Oscar Health list Kelly Donald 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 Kelly Donald was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.