Active NPI
Cara Elizabeth Donnelly, DO
- Family Medicine Physician
- Port Saint Lucie, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS23274
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0071497 | CO | MD | Family Medicine Physician |
| OS23274 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Health, Inc. | Current | Accepting new patients | |
| St Lucie Medical Specialists LLC | Family Medicine | Current | Accepting new patients |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current | Accepting new patients |
| St Lukes Regional Medical Center | Past | 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.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1548447535
-
- Federally Qualified Health Center (FQHC)
- Boise, ID
- NPI 1841490075
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port St Lucie, FL
- NPI 1538115696
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.