MICHELLE DONOHOE APN-C
NPI 1891159760
Nurse Practitioner in Toms River, NJ

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment
1028 HOOPER AVE, TOMS RIVER, NJ 08753(732) 202-6850 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michelle Donohoe Apn-c NPPES

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

MICHELLE DONOHOE APN-C (NPI 1891159760) is an individual nurse practitioner in Toms River, New Jersey, licensed in New Jersey (26NJ00610600) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Toms River, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1891159760
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMICHELLE DONOHOECredential: APN-C
Location Address1028 HOOPER AVEToms River, NJ 08753-8321
Mailing Address1028 Hooper AveToms River, NJ 08753-8321
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 7, 2016
Last NPPES UpdateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
NPI 1891159760 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 NJ · 26NJ00610600
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.

1028 HOOPER AVE, Toms River, NJ 08753

Secondary Practice Location 1

Location 1970 Hooper Ave # 2Toms River, NJ 08753-8319 · Phone (732) 228-4146

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

Michelle Donohoe Apn-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 ID3870882657
PECOS Enrollment IDI20160518000537
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 17

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.
453 services429 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
233 services228 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.
156 services156 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.
104 services103 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
85 services85 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
74 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 5

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

Internal Medicine
1028 HOOPER AVE
TOMS RIVER, NJ 08753
Nurse Practitioner (Adult Health)
1028 HOOPER AVE
TOMS RIVER, NJ 08753
Non-Pharmacy Dispensing Site
1028 HOOPER AVE
TOMS RIVER, NJ 08753
Family Medicine
1028 HOOPER AVE
TOMS RIVER, NJ 08753
Emergency Medicine
1028 HOOPER AVE
TOMS RIVER, NJ 08753

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 Michelle Donohoe's NPI number?

The NPI number for Michelle Donohoe is 1891159760. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Michelle Donohoe located?

Michelle Donohoe practices at 1028 Hooper Ave, Toms River, NJ 08753. The listed phone number is (732) 202-6850.

What is Michelle Donohoe's specialty?

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

Is Michelle Donohoe enrolled in Medicare?

Yes. Michelle Donohoe 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.

When was this NPI record last updated?

The NPPES record for Michelle Donohoe was last updated on August 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.