KATIE DONNELLY (AGACNP-BC) – Nurse Practitioner, NPI 1679125868

KATIE DONNELLY (AGACNP-BC) is a healthcare provider. based in Lakewood, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. APRN.CNP.025079 (OH). The NPI Number for KATIE DONNELLY (AGACNP-BC) is 1679125868

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KATIE DONNELLY (AGACNP-BC)
NPI
1679125868
Phone
Not provided
Address
2182 BUNTS RD
Enumeration Date
9 July 2019
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164442200
Graduation Year
2019 (7 years ago)
PAC ID
3274860002
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20190815003468
Address ID
OH441950001CL9500XAVEX300

Contacts

Secure Messaging
goodnik@ccf.org
Secure Messaging
donnelk3@ccf.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KATIE DONNELLY (AGACNP-BC)

  • 2182, Bunts Road, Madison Village, Lakewood, Cuyahoga County, Ohio, 44107, United States

    LAKEWOOD, OH 441076151

    Phone:

    Type: Mailing

  • 33100 Cleveland Clinic Blvd

    Avon, OH 440111390

    Phone: (216) 644-8823

    Type: Location

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441950001

    Phone: (216) 444-4069

    Type: Location

  • 33100 CLEVELAND CLINIC BLVD

    AVON, OH 440111390

    Phone:

    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: 2019-08-15

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
I20190815003468INurse PractitionerOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2920$0
99239Hospital discharge day management, more than 30 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 44107)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I use this page to confirm KATIE DONNELLY (AGACNP-BC)'s NPI?
Yes. KATIE DONNELLY (AGACNP-BC) is listed with NPI 1679125868 in the public NPI dataset.
Is KATIE DONNELLY (AGACNP-BC) listed as active for patients and plans?
The listing shows KATIE DONNELLY (AGACNP-BC) as active in the NPI system.
What is KATIE DONNELLY (AGACNP-BC)'s primary classification?
Nurse Practitioner is the headline specialty for KATIE DONNELLY (AGACNP-BC) here. Clinical services aligned with this taxonomy classification.
What address line appears for KATIE DONNELLY (AGACNP-BC)?
KATIE DONNELLY (AGACNP-BC)'s geographic hint is Lakewood, Ohio in our summary view.
Why does KATIE DONNELLY (AGACNP-BC) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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