Individual provider Active NPI

Cara Elizabeth Donnelly, DO

  • Family Medicine Physician
  • Port Saint Lucie, FL
National Provider Identifier
1942874748
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS23274 Issued in FL
Practice address
1881 SE Tiffany Ave
Port Saint Lucie, FL 34952-7567
Phone
(772) 398-7936
NPI assigned
May 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL.0008874 CO
Family Medicine Physician 207Q00000X DR.0071497 CO
Family Medicine Physician 207Q00000X OS23274 FL Primary
Family Medicine Physician 207Q00000X O-2008 ID

Addresses

Primary practice location

1881 SE Tiffany Ave
Port Saint Lucie, FL 34952-7567

Mailing address

1881 SE Tiffany Ave
Port Saint Lucie, FL 34952-7567
Phone (772) 398-7936

Other practice location 1

465 McKenna Dr
Mountain Home, ID 83647-2143
Phone (208) 587-9703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240814004214 ID Practitioner - Family Practice 1557763885 Reassigns benefits to 1 organization
I20260225003376 FL Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 1557763885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lucie Medical Specialists LLCGroup PAC ID 1456430487, 39 clinicians

Practice addresses (Care Compare)

1881 SE Tiffany Ave
Suite 102
Port Saint Lucie, FL 34952-7567
Phone (772) 398-7936

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DR.0071497COMDFamily Medicine Physician
OS23274FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Health, Inc. CurrentSince Jul 29, 2024 Accepting new patients
St Lucie Medical Specialists LLC Family Medicine CurrentSince Mar 2, 2026 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Jul 29, 2025 Accepting new patients
St Lukes Regional Medical Center PastSince Jul 29, 2024 Accepting new patients

Locations

2505 SW Martin Hwy
Palm City, FL 34990
Phone (772) 288-0060

1881 SE Tiffany Ave
Ste 102
Port St Lucie, FL 34952
Phone (772) 398-7936

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

325 W Idaho St
Boise, ID 83702
Phone (208) 514-2525

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

465 McKenna Dr
Mtn Home, ID 83647
Phone (208) 587-9703

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.

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": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1942874748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 SE TIFFANY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527567",
            "telephone_number": "772-398-7936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 SE TIFFANY AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349527567",
            "telephone_number": "772-398-7936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 McKenna Dr",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "ID",
            "postal_code": "836472143",
            "country_code": "US",
            "telephone_number": "208-587-9703",
            "fax_number": "208-587-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "CARA",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL.0008874",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0071497",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS23274",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-2008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.