Kelly A Donald, APN - Medicare Nurse Practitioner in Randolph, NJ

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Kelly A Donald, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Randolph, New Jersey. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Practice Associates Medical Group and her current practice location is 2 Emery Ave, Randolph, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 891-9500.

Kelly A Donald is licensed to practice in New Jersey (license number 26NJ01312600) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871231720.

Contact Information

Kelly A Donald, APN
2 Emery Ave,
Randolph, NJ 07869-1368
(973) 891-9500
(973) 695-1484

Map and Direction




Provider's Profile

Full NameKelly A Donald
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2 Emery Ave, Randolph, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly A Donald graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1871231720
  • Provider Enumeration Date: 05/20/2022
  • Last Update Date: 01/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9537549159
  • Enrollment ID: I20220629000809

Medical Identifiers

Medical identifiers for Kelly A Donald such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871231720NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ01312600 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Practice Associates Medical Group58907031771299

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly A Donald allows following entities to bill medicare on her behalf.
Entity NamePractice Associates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427016385
PECOS PAC ID: 5890703177
Enrollment ID: O20060330000690
Entity NameNj Memory And Behavioral Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538499181
PECOS PAC ID: 7719013267
Enrollment ID: O20100413000027

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly A Donald is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly A Donald, APN
2 Emery Ave,
Randolph, NJ 07869-1368

Ph: (973) 219-2391		Kelly A Donald, APN
2 Emery Ave,
Randolph, NJ 07869-1368

Ph: (973) 891-9500

Reviews and Comments


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Heather Hogh,
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Kaitlyn Smith,
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Practice Location: 765 Route 10 E, Ste 201, Randolph, NJ 07869
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Barbara Baggstrom, CPNP
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Phone: 973-659-9991    Fax: 973-659-9632
Angela Marie Giordano, APN
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Medicare: Accepting Medicare Assignments
Practice Location: 765 Route 10 E, Suite 201, Randolph, NJ 07869
Phone: 973-989-0068    Fax: 973-361-8955

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.