Individual provider Active NPI

Julia Maria Donatelli, PA-C

  • Physician Assistant
  • Indiana, PA
National Provider Identifier
1811529217
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA061073 Issued in PA
Practice address
1265 Wayne Ave Ste 306
Indiana, PA 15701-3501
Phone
(724) 463-9701
Fax
(724) 463-9701
NPI assigned
Feb 4, 2020
Last updated
Nov 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA061073 PA Primary

Addresses

Primary practice location

1265 Wayne Ave Ste 306
Indiana, PA 15701-3501

Mailing address

640 Kolter Dr
Indiana, PA 15701-3570
Phone (724) 357-7333

Other practice location 1

835 Hospital Rd
Indiana, PA 15701-3629
Phone (724) 357-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julia.bosco@irmc.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200414000533 PA Practitioner - Physician Assistant 4183054224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Jefferson Medical College of Thomas Jefferson University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1265 Wayne Ave
Indiana, PA 15701-3501

875 Hospital Rd
Irmc Physician Group
Indiana, PA 15701-3629
Phone (724) 347-7493

879 Hospital Rd
Indiana, PA 15701-3629
Phone (888) 452-4762

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Regional Medical Center CurrentSince Feb 10, 2020 Accepting new patients
Indiana Regional Medical Center CurrentSince Feb 10, 2020 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

640 Kolter Dr
Indiana, PA 15701
Phone (724) 357-7196

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

Interoperability endpoints

  • Direct secure messaging: julia.bosco@irmc.cernerdirect.com

Organizations & group practices 5

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 4

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": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699142400000",
    "number": "1811529217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KOLTER DR",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013570",
            "telephone_number": "724-357-7333",
            "fax_number": "724-357-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE STE 306",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-463-9701",
            "fax_number": "724-463-9701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013629",
            "country_code": "US",
            "telephone_number": "724-357-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "JULIA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julia.bosco@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Messaging",
            "address_1": "1265 Wayne Ave Ste 306",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indiana, PA

Sources for this page

Verify at the official NPI Registry.