Individual provider Active NPI

Natasha Jane Donnelly, RN, PHD, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1790387447
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5013953 Issued in NC
Practice address
Monarch Behavioral Health Urgent Care
319 Chapanoke Road, Ste 120
Raleigh, NC 27603-2758
Phone
(919) 703-2845
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 237757 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5013953 NC Primary

Addresses

Primary practice location

Monarch Behavioral Health Urgent Care
319 Chapanoke Road, Ste 120
Raleigh, NC 27603-2758

Mailing address

2937 Horse Shoe Farm Rd
Wake Forest, NC 27587-6724
Phone (919) 830-6711

Other names 1

  • Natasha Jane Donnelly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20210413001441 NC Practitioner - Nurse Practitioner 1557776721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Oaks Clinic PLLCGroup PAC ID 0547678500, 9 clinicians

Practice addresses (Care Compare)

1748 Heritage Ctr Dr
Suite 101
Wake Forest, NC 27587-9855
Phone (919) 529-5920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
237757NCMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch CurrentSince Apr 27, 2021 Accepting new patients
Monarch CurrentSince Apr 27, 2021 Accepting new patients
Monarch Current Accepting new patients
Cedar Oaks Clinic PLLC Psychiatric/Mental Health CurrentSince Apr 1, 2021 Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

319 Chapanoke Rd
Ste 120
Raleigh, NC 27603
Phone (919) 322-5911

1748 Heritage Center Dr
Ste 101
Wake Forest, NC 27587
Phone (919) 529-5920

Organizations & group practices 4

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1790387447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 HORSE SHOE FARM RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876724",
            "telephone_number": "919-830-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONARCH BEHAVIORAL HEALTH URGENT CARE",
            "address_2": "319 CHAPANOKE ROAD, STE 120",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276032758",
            "telephone_number": "919-703-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "NATASHA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "RN, PHD, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "237757",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "DONNELLY",
            "middle_name": "JANE",
            "credential": "ROBERTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.