Individual provider Active NPI

Margaret Mary O'Donnell, FNP-C

  • Family Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1619796141
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
829604 Issued in CA
Practice address
27002 Mallorca LN
Mission Viejo, CA 92691-6112
Phone
(949) 291-5462
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 829604 CA Primary

Addresses

Primary practice location

27002 Mallorca LN
Mission Viejo, CA 92691-6112

Mailing address

27002 Mallorca LN
Mission Viejo, CA 92691-6112
Phone (949) 291-5462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20260217002825 CA Order and Referring Only - Nurse Practitioner 6709366800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
829604CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Celebrating Life Community Health Center Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: margaretodonnell@clchc.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1619796141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27002 MALLORCA LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916112",
            "telephone_number": "949-291-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27002 MALLORCA LN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916112",
            "telephone_number": "949-291-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "829604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.