Active NPI
Donna Marie McKinnon, APN
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 17804
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Morristown Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.16 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00811900 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Py Physician Services LLC | Current | Accepting new patients | |
| Act on Total Health Medical Group, LLC | Current | Accepting new patients | |
| Marc Feingold MD LLC | Current | Accepting new patients | |
| Barron Emergency Physicians LLC | Current | Accepting new patients | |
| JLS Medical PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Consensus Medical Group LLC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Primary Care PC | Current | Accepting new patients | |
| CMG Medical Group I LLC | Past | Accepting new patients | |
| Tikvah Integrated Mental Health and Wellness LLC | Family | Past | Accepting new patients |
| Advanced Spine and Pain, LLC | Past | 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
- 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.
-
- Emergency Medicine Physician
- Red Bank, NJ
- NPI 1447622402
-
- Emergency Medicine Physician
- Manahawkin, NJ
- NPI 1790736940
-
- Internal Medicine Physician
- Manasquan, NJ
- NPI 1811466881
-
- Family Medicine Physician
- Red Bank, NJ
- NPI 1336203538
-
- Family Medicine Physician
- Northfield, NJ
- NPI 1952992455
-
- Family Medicine Physician
- Manalapan, NJ
- NPI 1992026280
-
- Pain Medicine Physician
- Egg Harbor Township, NJ
- NPI 1447885116
-
- Rehabilitation Clinic/Center
- Cherry Hill, NJ
- NPI 1720121106
-
- Family Medicine Physician
- Manalapan, NJ
- NPI 1942778014
-
- Family Nurse Practitioner
- Marlton, NJ
- NPI 1881465128
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- Home Health Agency
- Whiting, NJ
- NPI 1609264597
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.