Individual provider Active NPI

Kelly A Donze, CNM, WHNP

  • Advanced Practice Midwife
  • Ste Genevieve, MO
National Provider Identifier
1154636579
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2011001942 Issued in MO
Practice address
800 Sainte Genevieve Dr
Sainte Genevieve, MO 63670-1434
Phone
(573) 883-5715
Fax
(573) 883-2463
NPI assigned
Aug 10, 2010
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2012010344 MO
Advanced Practice Midwife 367A00000X 209.008269 IL
Advanced Practice Midwife 367A00000X 2011001942 MO Primary

Addresses

Primary practice location

800 Sainte Genevieve Dr
Sainte Genevieve, MO 63670-1434

Mailing address

800 Sainte Genevieve Dr
Sainte Genevieve, MO 63670-1434
Phone (573) 883-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110816000838 MO Practitioner - Certified Nurse Midwife (CNM) 4587833165 Reassigns benefits to 5 organizations
I20140113001719 MO Practitioner - Nurse Practitioner 4587833165 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ste Genevieve County Memorial HospitalGroup PAC ID 3274432802, shared by 9 NPIs, 74 clinicians

Practice addresses (Care Compare)

120 Plaza Dr Plaza Medical Ctr
Ste Genevieve, MO 63670-1828
Phone (573) 883-5717

255 Boderman
Bloomsdale, MO 63627-9099
Phone (573) 483-2727

753 Pointe Basse Dr
Ste Genevieve, MO 63670-1820
Phone (573) 883-2782

800 Sainte Genevieve Dr
Ste Genevieve, MO 63670-1434
Phone (573) 883-5715

930 Park Dr
Ste Genevieve, MO 63670-1539
Phone (573) 883-7424

990 Park Dr
Ste Genevieve, MO 63670-1539
Phone (573) 883-5151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2012010344MOMDWomen's Health Nurse Practitioner
209.008269ILMDAdvanced Practice Midwife
2011001942MOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Sep 28, 2013 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Nov 5, 2012 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Jul 18, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

611 W Main St
Fredericktown, MO 63645
Phone (573) 773-7061

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

930 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-7424

990 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-5151

Interoperability endpoints

  • Direct secure messaging: kellydonze@mhccaremail.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1154636579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAINTE GENEVIEVE DR",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701434",
            "telephone_number": "573-883-4477",
            "fax_number": "573-883-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAINTE GENEVIEVE DR",
            "city": "SAINTE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701434",
            "telephone_number": "573-883-5715",
            "fax_number": "573-883-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONZE",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "CNM, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2012010344",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209.008269",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2011001942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

Verify at the official NPI Registry.