Individual provider Active NPI

Donna Marie McKinnon, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1437653425
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17804 Issued in CT
Practice address
675 Main St
Middletown, CT 06457-2732
Phone
(860) 347-6971
Fax
(860) 343-7379
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17804 CT Primary
Family Nurse Practitioner 363LF0000X 17804 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00811900 NJ
Family Nurse Practitioner 363LF0000X SP025268 PA

Addresses

Primary practice location

675 Main St
Middletown, CT 06457-2732

Mailing address

19 Grand St
Middletown, CT 06457-2705
Phone (860) 347-6971

Other practice location 1

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone (201) 822-1161

Other practice location 2

55 Route 70 E Ste 3
Marlton, NJ 08053-1769
Phone (908) 782-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180813002901 NJ Practitioner - Nurse Practitioner 2062760754 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Physicians of New Jersey LLCGroup PAC ID 1658674585, 96 clinicians
Py Physician Services LLCGroup PAC ID 6204201916, 4 clinicians
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

1 Rte 37
Toms River, NJ 08753-6500
Phone (732) 281-3201

1155 E Jersey St
Elizabeth, NJ 07201-2310
Phone (908) 352-9200

1919 Route 35
Wall Township, NJ 07719-3508
Phone (732) 280-2600

319 US Hwy 130
East Windsor, NJ 08520-2735
Phone (609) 426-4300

550 Broad St
Suite 606
Newark, NJ 07102-4537
Phone (201) 822-1161

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Whiting, NJ, CCN 317031
  • Morristown Medical Center Hospital, Morristown, NJ, CCN 310015

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100Reported as group
Quality
78.12
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00811900NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Py Physician Services LLC CurrentSince Oct 1, 2025 Accepting new patients
Act on Total Health Medical Group, LLC CurrentSince Jun 1, 2022 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
Barron Emergency Physicians LLC CurrentSince Mar 1, 2022 Accepting new patients
JLS Medical PC Psychiatric/Mental Health CurrentSince Nov 17, 2025 Accepting new patients
Consensus Medical Group LLC CurrentSince Aug 7, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Primary Care PC CurrentSince Feb 24, 2019 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients
Tikvah Integrated Mental Health and Wellness LLC Family PastSince Mar 30, 2025 Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients

Locations

985 Cedar Bridge Ave
Brick, NJ 08723
Phone (732) 477-5600

1401 Route 70 E
Ste 26
Cherry Hill, NJ 08034
Phone (856) 428-5120

414 Haddon Ave
Collingswood, NJ 08108
Phone (856) 577-6627

1155 E Jersey St
Elizabeth, NJ 07201
Phone (732) 987-5122

25 Scotch Rd
Ste 29
Ewing, NJ 08628
Phone (609) 771-0404

2354 US Highway 9
Howell, NJ 07731
Phone (732) 905-5255

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

65 Jay St
#C
Newark, NJ 07103
Phone (973) 483-6800

465 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 483-3640

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

1868 Hooper Ave
Toms River, NJ 08753
Phone (732) 255-2373

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • FHIR API: https://mepic.hmhn.org/fhir/api/FHIR/R4/

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1437653425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GRAND ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572705",
            "telephone_number": "860-347-6971",
            "fax_number": "860-343-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572732",
            "telephone_number": "860-347-6971",
            "fax_number": "860-343-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Broad St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071024537",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Route 70 E Ste 3",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080531769",
            "country_code": "US",
            "telephone_number": "908-782-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "17804",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "17804",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00811900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.