AMY MICHELLE DONOVAN – Family Nurse Practitioner, NPI 1215809793

AMY MICHELLE DONOVAN is a healthcare provider. based in Stanberry, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2025012732 (MO). The NPI Number for AMY MICHELLE DONOVAN is 1215809793

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
AMY MICHELLE DONOVAN
NPI
1215809793
Phone
(660) 783-2192
Address
202 E MAIN ST
Enumeration Date
23 September 2025
Last Update Date
5 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6607832192
Graduation Year
2024 (2 years ago)
PAC ID
6204326937
Group Practice PAC ID
5496641896
Professional Enrollment ID
I20251110003096
Address ID
MO644891358ST202XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for AMY MICHELLE DONOVAN

  • 202 E MAIN ST

    STANBERRY, MO 644891358

    Phone: (660) 783-2192

    Fax: (660) 783-2616

    Mailing address matches the actual address.

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: 2025-11-10

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
I20251110003096INurse PractitionerMOTBD

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 64489)

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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: 5496641896View full group profile
NameSpecialtyState
Internal MedicineMO
Nurse PractitionerMO
Physician AssistantMO
Certified Registered Nurse Anesthetist (Crna)MO
Emergency MedicineMO
H O S P I T A L I S TAR
Emergency MedicineKS
Internal Medicine, HospitalistMO
Family PracticeMO
Emergency MedicineWI

Reviews

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Frequently asked questions

Can I cross-check AMY MICHELLE DONOVAN using NPI 1215809793?
NPI 1215809793 belongs to AMY MICHELLE DONOVAN; compare other details if you need extra assurance.
Is there an active status for AMY MICHELLE DONOVAN?
For scheduling context, AMY MICHELLE DONOVAN is shown as active in the registry.
What kind of doctor is AMY MICHELLE DONOVAN?
AMY MICHELLE DONOVAN is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for AMY MICHELLE DONOVAN?
Travel planning: use Stanberry, Missouri as the reference point for AMY MICHELLE DONOVAN, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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