Individual provider Active NPI

Renee A Donnelly, N.P.

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1760797427
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191093 Issued in VA
Practice address
3400 Civic Center Blvd
2 West
Philadelphia, PA 19104-5127
Phone
(215) 615-0063
NPI assigned
Aug 18, 2010
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP016239 PA
Adult Health Nurse Practitioner 363LA2200X RN2265805 MA
Adult Health Nurse Practitioner 363LA2200X RN1003175 DC
Family Nurse Practitioner 363LF0000X 0024191093 VA Primary
Registered Nurse 163W00000X RN2265805 MA

Addresses

Primary practice location

3400 Civic Center Blvd
2 West
Philadelphia, PA 19104-5127

Mailing address

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 673-2024

Other practice location 1

7202 Glen Forest Dr Ste 200
Richmond, VA 23226-3780
Phone (804) 673-2024

Other practice location 2

8007 Discovery Dr Ste A
Richmond, VA 23229-8605
Phone (804) 287-3000

Other names 1

  • Renee A Morturano Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20161010000080 PA Practitioner - Nurse Practitioner 9638359318 Reassigns benefits to 1 organization
I20190403001958 NJ Practitioner - Nurse Practitioner 9638359318 Reassigns benefits to 3 organizations
I20241002001628 VA Practitioner - Nurse Practitioner 9638359318 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

8007 Discovery Dr
Suite a
Richmond, VA 23229-8605
Phone (804) 287-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024191093VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Provider Group LLC CurrentSince Oct 22, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jul 13, 2021 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Adult Health Current Accepting new patients
University of Penn-Medical Group CurrentSince Aug 15, 2016 Accepting new patients
Princeton Healthcare Provider Group LLC CurrentSince Oct 22, 2019 Accepting new patients
Virginia Cancer Institute Incorporated CurrentSince Sep 27, 2024 Accepting new patients
Virginia Cancer Institute Incorporated CurrentSince Sep 27, 2024 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 18, 2019 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 18, 2019 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 15, 2016 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

993 Lenox Dr
Ste 207
Lawrenceville, NJ 08648

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

905 Herrontown Rd
Princeton, NJ 08540
Phone (609) 497-3300

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3400 Civic Center Blvd
#2
Philadelphia, PA 19104
Phone (215) 615-0063

3400 Civic Center Blvd
#2W
Philadelphia, PA 19104
Phone (215) 614-1618

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

7492 Right Flank Rd
Mechanicsville, VA 23116
Phone (804) 559-0736

1401 Johnston Willis Dr
Ste 100
North Chesterfield, VA 23235
Phone (804) 287-3000

7202 Glen Forest Dr
Ste 200
Richmond, VA 23226
Phone (804) 673-0134

8007 Discovery Dr
Ste A
Richmond, VA 23229
Phone (804) 287-3000

Interoperability endpoints

  • FHIR API: https://fhir.prod.flatiron.io/fhir/

Organizations & group practices 10

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": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1760797427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7202 GLEN FOREST DR STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263780",
            "telephone_number": "804-673-2024",
            "fax_number": "804-673-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "2 WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "215-615-0063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7202 Glen Forest Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263780",
            "country_code": "US",
            "telephone_number": "804-673-2024",
            "fax_number": "804-673-1796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8007 Discovery Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232298605",
            "country_code": "US",
            "telephone_number": "804-287-3000",
            "fax_number": "804-673-2731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "RENEE",
        "middle_name": "A",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP016239",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2265805",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN1003175",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191093",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2265805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "MORTURANO",
            "middle_name": "A",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.