DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC) – Family Nurse Practitioner, NPI 1063725547

DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC) is a healthcare provider. based in Elgin, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials DFNP, APRN, NP-BC. They hold a License No. 81703 (OK). The NPI Number for DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC) is 1063725547

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC)
NPI
1063725547
Phone
(580) 458-2373
Address
1207 MAPLE AVE
Enumeration Date
26 July 2010
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
9931536059
Group Practice PAC ID
2668373689
Professional Enrollment ID
I20200228002190
Address ID
OK735076537LA1202XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC)

  • 1207 MAPLE AVE

    ELGIN, OK 735389003

    Phone: (580) 458-2373

    Type: Mailing

  • 602 SW 38TH ST

    LAWTON, OK 735056912

    Phone: (580) 248-5780

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-02-09 • Largest payer in this snapshot: MERZ NORTH AMERICA, INC. ($50).

Total Amount

$50

General + Research + Ownership

Payments

1

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MERZ NORTH AMERICA, INC.$50
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: 2020-02-28

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
I20200228002190INurse PractitionerOKTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes3713$0
View full utilization report →

Insurance plans in this area (ZIP 73538)

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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: 2668373689View full group profile
NameSpecialtyState
Family PracticeOK
Internal MedicineOK
Family PracticeOK
Registered Dietitian Or Nutrition ProfessionalOK
Clinical Social WorkerOK
Registered Dietitian Or Nutrition ProfessionalOK
Nurse PractitionerOK
Nurse PractitionerOK
Nurse PractitionerOK
P S Y C H I A T R YOK

Reviews

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Frequently asked questions

What federal number belongs to DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC)?
The federal identifier for DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC) is NPI 1063725547.
Is DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC) currently active in the NPI registry?
CMS-published data lists DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC) as an active registrant.
What kind of provider is DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC)?
The page reflects Family Nurse Practitioner for DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC). Clinical services aligned with this taxonomy classification.
Where is DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC)'s primary listing?
We display Elgin, Oklahoma because that is what the record indicates for DR. JENNIFER L. DONNELLY (DFNP, APRN, NP-BC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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