MARY JO DONNELL (NP-C) – Nurse Practitioner, NPI 1003217480

MARY JO DONNELL (NP-C) is a healthcare provider. based in Marlton, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 26NJ00519300 (NJ). The NPI Number for MARY JO DONNELL (NP-C) is 1003217480

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARY JO DONNELL (NP-C)
NPI
1003217480
Phone
(856) 355-0340
Address
301 LIPPINCOTT DR STE 410
Enumeration Date
4 September 2014
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8564287700
Graduation Year
2014 (12 years ago)
PAC ID
1658684048
Group Practice PAC ID
9830222397
Professional Enrollment ID
I20150714001544
Address ID
NJ080032117CH1935XEXXX400

Contacts

Secure Messaging
mdonnell237497@directvirtua.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness95
Years active:11State licenses:1Other names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MARY JO DONNELL (NP-C)

  • 301 LIPPINCOTT DR STE 410

    MARLTON, NJ 080534197

    Phone: (856) 355-0340

    Type: Mailing

  • 1935 ROUTE 70 E

    CHERRY HILL, NJ 080032117

    Phone: (856) 428-7700

    Type: Location

  • 200 TRENTON RD

    BROWNS MILLS, NJ 080151705

    Phone: (609) 893-6611

    Type: Mailing

  • 239 Hurffville Crosskeys Rd Ste 350A

    Sewell, NJ 080804007

    Phone: (856) 428-7700

    Fax: (856) 325-4196

    Type: Location

  • 200 Trenton Rd

    Browns Mills, NJ 080151705

    Phone: (609) 893-6611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $143.

Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Medtronic, Inc. ($127).

Total Amount

$143

General + Research + Ownership

Payments

2

Total payment records

General Amount

$143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2015-07-14

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
I20150714001544INurse PractitionerNJTBD

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 08053)

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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: 9830222397View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MARY JO DONNELL (NP-C)?
The federal identifier for MARY JO DONNELL (NP-C) is NPI 1003217480.
Is MARY JO DONNELL (NP-C)'s NPI currently valid?
The extract we use shows MARY JO DONNELL (NP-C) as active.
What field does MARY JO DONNELL (NP-C) work in?
You can think of MARY JO DONNELL (NP-C) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MARY JO DONNELL (NP-C)?
We surface Marlton, New Jersey for MARY JO DONNELL (NP-C) based on available NPPES addresses.
What if Marlton, New Jersey seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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