KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1154031169

KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP) is a healthcare provider. based in Oakdale, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, PMHNP-BC, APNP. They hold a License No. 171416-30 (WI). The NPI Number for KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP) is 1154031169

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP)
NPI
1154031169
Phone
(651) 783-5410
Address
7755 3rd St N
Enumeration Date
30 November 2022
Last Update Date
8 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7152942111
Graduation Year
2023 (3 years ago)
PAC ID
5496197865
Group Practice PAC ID
9931092848
Professional Enrollment ID
I20240530002609
Address ID
WI540204370OS2600XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:3State licenses:3Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP)

  • 7755 3rd St N

    Oakdale, MN 551285442

    Phone: (651) 783-5410

    Type: Location

  • 2600 65TH AVE

    OSCEOLA, WI 540204376

    Phone: (715) 294-2111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-05-30

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
I20240530002609INurse PractitionerWITBD

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 55128)

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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: 9931092848View full group profile
NameSpecialtyState
Physician AssistantMN
General SurgeryWI
Family PracticeWI
Nurse PractitionerMN
Family PracticeWI
Nurse PractitionerMN
Cardiovascular Disease (Cardiology), Internal Medicine, Diagnostic RadiologyPA
Certified Registered Nurse Anesthetist (Crna)MN
Physician AssistantWI
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

Where can patients find KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP)'s NPI?
You can confirm KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP) with NPI 1154031169; it appears in the national provider directory.
Does this profile mean KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP) is currently active?
Yes — KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP) appears active in the national provider directory.
Does KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP) list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP). Clinical services aligned with this taxonomy classification.
What location shows for KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP)?
We surface Oakdale, Minnesota for KIMBERLY ANN DONALDSON (MSN, PMHNP-BC, APNP) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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