Jacob Ian Donnell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

086414-23 Issued in NH

Practice address

80 Seymour St
Hartford, CT 06102-8000

Phone

(860) 545-5000

NPI assigned

Jan 31, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians

Icon Anesthesia Services of New England LLCGroup PAC ID 2668732041, 21 clinicians

Greater Hampstead Family Medicine IncGroup PAC ID 4284734351, 30 clinicians

Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elliot Hospital Hospital, Manchester, NH, CCN 300012

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.donnell@xdr.hhchealthdirect.org

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.

• Amoskeag Anesthesia, PLLC

  • Anesthesiology Physician
  • Manchester, NH
  • NPI 1104883511

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Greater Hampstead Family Medicine, Inc.

  • Family Medicine Physician
  • Hampstead, NH
  • NPI 1740379940

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Icon Anesthesia Services of New England LLC

  • Anesthesiology Physician
  • Middleton, MA
  • NPI 1629583323

  NH

  Medicare reassignment Care Compare group NPD
• Northeast Orthopaedic Alliance PLLC

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1417724170

  NH

  Medicare reassignment Care Compare group NPD
• Concord Orthopaedics Professional Association

  • Orthopaedic Surgery Physician
  • Concord, NH
  • NPI 1437182490

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Dartmouth-Hitchcock Clinic

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1548210198
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of New York - Patchogue PC

  • Anesthesiology Physician
  • Patchogue, NY
  • NPI 1366920993

  NH

  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  NH, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Concord Orthopaedics Professional Association

  • Orthopaedic Surgery Physician
  • Derry, NH
  • NPI 1992581383
  NPD
• Dartmouth-Hitchcock Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lebanon, NH
  • NPI 1124681846
  NPD
• Northeast Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Derry, NH
  • NPI 1477374155
  NPD

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

• Elliot Hospital of the City of Manchester

  • General Acute Care Hospital
  • Manchester, NH
  • NPI 1902996028
  Care Compare affiliation

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1811528557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EAST RIVER DRIVE",
            "address_2": "5TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "06108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEYMOUR ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061028000",
            "telephone_number": "860-545-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hitchcock Way",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031044125",
            "country_code": "US",
            "telephone_number": "603-695-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "264 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033012551",
            "country_code": "US",
            "telephone_number": "603-224-3368",
            "fax_number": "603-228-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 Court St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311718",
            "country_code": "US",
            "telephone_number": "603-354-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELL",
        "first_name": "JACOB",
        "middle_name": "IAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "086414-23",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "131785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M Donelan, PSY.D.
• Xin Yu Dong, RPH
• Fred M Donkoh, MD
• Kelly Donlan
• Abigail Rose Donnell, DNP, CRNA, APRN
• Alyssa Ann Donnelly, M.D.
• Susan L Donnelly, PA-C
• Alyse C Donovan, PSYD
• Brennan William Donville, MD
• Kelsey Doolittle

• Certified Registered Nurse Anesthetist in Hartford, CT
• Providers in Hartford, CT by specialty
• Certified Registered Nurse Anesthetist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.