Donna Jo Brigham, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F349007-01 Issued in NY

Practice address

1051 Craft Rd
Ithaca, NY 14850-1016

Phone

(607) 257-1107

Fax

(607) 257-0369

NPI assigned

Oct 4, 2019

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Donna Jo Crowningshield Former name

Medicare fee-for-service enrollment

Enrolled in PA, NY2 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Josephine C. McAllister, M.D., LLCGroup PAC ID 9739366691, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
• Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175

Merit-based Incentive Payment System (MIPS)

Final score

86.56 of 100Reported as group

Quality

92.41

Promoting interoperability

80

Improvement activities

40

Cost

79.45

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dbrigham2549@direct-guthrie.org
• Direct secure messaging: donna@ithacaderm.emadirect.md

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.

• Dermatology Associates of Ithaca, LLC

  • Dermatology Physician
  • Ithaca, NY
  • NPI 1609170992
  Medicare reassignment Care Compare group NPD
• Guthrie Medical Group, P.C.

  • Family Medicine Physician
  • Athens, PA
  • NPI 1962451153
  Medicare reassignment NPD
• Guthrie Medical Group, P.C.

  • General Practice Physician
  • Sayre, PA
  • NPI 1245246644
  NPD
• Guthrie Medical Group, P.C.

  • Gastroenterology Physician
  • Sayre, PA
  • NPI 1336191782
  NPD

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

• Cayuga Medical Center at Ithaca

  • General Acute Care Hospital
  • Ithaca, NY
  • NPI 1962422733
  Care Compare affiliation
• Guthrie Cortland Medical Center

  • General Acute Care Hospital
  • Cortland, NY
  • NPI 1740287531
  Care Compare affiliation

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1508407180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 CRAFT RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501016",
            "telephone_number": "607-257-1107",
            "fax_number": "607-257-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 CRAFT RD",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501016",
            "telephone_number": "607-257-1107",
            "fax_number": "607-257-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHAM",
        "first_name": "DONNA",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F349007-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "CROWNINGSHIELD",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert J Breiman, M.D.
• Peter T Brennan, MD
• Melissa Bresenhan, CRNP
• Charlene Brew
• Christine Noelle Brewer
• Karen Brigham
• Andi Dora Broffman
• Ashanee Brooks
• Emily Juanita Brooks
• Marley Brooks, LMSW

• Nurse Practitioner in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.

Verify at the official NPI Registry.