KATIE JEAN DONOVAN (APRN) – Family Nurse Practitioner, NPI 1447879168

KATIE JEAN DONOVAN (APRN) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 122553 (AR). The NPI Number for KATIE JEAN DONOVAN (APRN) is 1447879168

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATIE JEAN DONOVAN (APRN)
NPI
1447879168
Phone
(314) 543-6979
Address
PO BOX 776084
Enumeration Date
13 April 2020
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4793145175
Graduation Year
2019 (7 years ago)
PAC ID
8325478571
Group Practice PAC ID
3870668510
Professional Enrollment ID
I20200430002616
Address ID
AR729034100FO7301XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for KATIE JEAN DONOVAN (APRN)

  • PO BOX 776084

    CHICAGO, IL 606776084

    Phone: (314) 543-6979

    Fax: (314) 364-6321

    Type: Mailing

  • 7001 Rogers Ave Ste 401A

    Fort Smith, AR 729034034

    Phone: (479) 314-4650

    Type: Location

  • 9755 W STATE HIGHWAY 22

    RATCLIFF, AR 729519000

    Phone:

    Type: Mailing

  • 4 HIGHWAY 71

    MOUNTAINBURG, AR 72946

    Phone: (479) 369-2091

    Type: Location

  • 6801 ROGERS AVE FL 3

    FORT SMITH, AR 729034067

    Phone: (479) 274-3940

    Fax: (479) 274-3499

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $1,082.

Total Amount is formed as General ($1,082) + Research ($0) + Ownership ($0) = $1,082.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($789).

Total Amount

$1,082

General + Research + Ownership

Payments

39

Total payment records

General Amount

$1,082

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-04-30

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
I20200430002616INurse PractitionerARTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample6341$0
83036Hemoglobin a1c level2217$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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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: 3870668510View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YAR
Family PracticeAR
-AR
Family PracticeIL
Nurse PractitionerAR
Nurse PractitionerAR
-OK
G A S T R O E N T E R O L O G YAR
Nurse PractitionerAR
O B S T E T R I C S/ G Y N E C O L O G YAR

Reviews

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Frequently asked questions

How do payers reference KATIE JEAN DONOVAN (APRN)?
For KATIE JEAN DONOVAN (APRN), use NPI 1447879168 as the unique 10-digit identifier.
Would KATIE JEAN DONOVAN (APRN) appear as active to a payer?
You can treat KATIE JEAN DONOVAN (APRN) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KATIE JEAN DONOVAN (APRN)?
KATIE JEAN DONOVAN (APRN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KATIE JEAN DONOVAN (APRN)?
Directory geography for KATIE JEAN DONOVAN (APRN) centers on Chicago, Illinois.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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