OLIVIA DONNELLY – Obstetrics & Gynecology Physician, NPI 1336761949

OLIVIA DONNELLY is a healthcare provider. based in Tampa, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold a License No. ME153251 (FL). The NPI Number for OLIVIA DONNELLY is 1336761949

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA DONNELLY
NPI
1336761949
Phone
(813) 769-2778
Address
5380 PRIMROSE LAKE CIR
Enumeration Date
18 May 2020
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3052734641
Graduation Year
2020 (6 years ago)
PAC ID
4183168545
Group Practice PAC ID
8921091786
Professional Enrollment ID
I20240718004888
Address ID
FL331334741MI3225XAVEX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

Provider Addresses for OLIVIA DONNELLY

  • 5380 PRIMROSE LAKE CIR

    TAMPA, FL 336473589

    Phone: (813) 769-2778

    Type: Mailing

  • 3815 ATMORE GROVE DR

    LUTZ, FL 335487990

    Phone: (813) 428-7030

    Fax: (813) 428-7040

    Type: Location

  • 1657 TRINITY DR

    PENSACOLA, FL 325045708

    Phone: (850) 416-2400

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Astellas Pharma US Inc ($51).

Total Amount

$184

General + Research + Ownership

Payments

8

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240718004888IObstetrics/GynecologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33647)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921091786View full group profile
NameSpecialtyState
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
U R O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
-FL
Nurse PractitionerFL
-FL
O B S T E T R I C S/ G Y N E C O L O G YFL
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

How do I look up OLIVIA DONNELLY by NPI?
Use NPI 1336761949 when you need to reference OLIVIA DONNELLY in forms, claims, or directories.
Is OLIVIA DONNELLY active in the national directory?
OLIVIA DONNELLY's public NPI profile is in an active state.
What kind of provider is OLIVIA DONNELLY?
The page reflects Obstetrics & Gynecology Physician for OLIVIA DONNELLY. Clinical services aligned with this taxonomy classification.
What location shows for OLIVIA DONNELLY?
We surface Tampa, Florida for OLIVIA DONNELLY based on available NPPES addresses.
Is OLIVIA DONNELLY a real provider?
This page reflects official NPPES data for NPI 1336761949. Always confirm identity and privileges with the practice and licensing boards.

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