Individual provider Active NPI

Martha Ulyssa Donahue, MSN, FNP

  • Family Nurse Practitioner
  • Wheeling, WV
National Provider Identifier
1902809452
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
44795 Issued in WV
Practice address
2121 Eoff St
Wheeling, WV 26003-3805
Phone
(304) 234-3580
Fax
(304) 234-3596
NPI assigned
May 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2005000034-22 WV
Family Nurse Practitioner 363LF0000X 44795 WV Primary

Addresses

Primary practice location

2121 Eoff St
Wheeling, WV 26003-3805

Mailing address

2121 Eoff St
Wheeling, WV 26003-3805
Phone (304) 234-3580

Other identifiers 2

IdentifierTypeStateIssuer
001722461OtherWVBCBS
3810004800MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20050405000310 WV Practitioner - Nurse Practitioner 6709833445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwood Health Systems IncGroup PAC ID 4880600048, 14 clinicians

Practice addresses (Care Compare)

2121 Eoff St
Wheeling, WV 26003-3805
Phone (304) 234-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2005000034-22WVMDFamily Nurse Practitioner
44795WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Health Systems Inc CurrentSince Jan 1, 2006 Accepting new patients
Northwood Health Systems Inc PastSince Oct 8, 2023 Accepting new patients

Locations

10 Ash Ave
Moundsville, WV 26041
Phone (304) 845-3000

307 N Main St
North Martinsvlle, WV 26155
Phone (304) 455-3622

747 2nd St
North Martinsvlle, WV 26155
Phone (304) 305-0651

353 American Way
Weirton, WV 26062
Phone (304) 217-3019

2121 Eoff St
Wheeling, WV 26003
Phone 30423435003246

Organizations & group practices 2

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": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1902809452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EOFF ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033805",
            "telephone_number": "304-234-3580",
            "fax_number": "304-234-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EOFF ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033805",
            "telephone_number": "304-234-3580",
            "fax_number": "304-234-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "MARTHA",
        "middle_name": "ULYSSA",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "2005000034-22",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "44795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001722461",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810004800",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.