Jenna Lynn Donnerberg, MSN, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2024062818 Issued in WA

Practice address

15111 229TH Dr SE
Monroe, WA 98272-9557

Phone

(206) 902-8379

NPI assigned

Aug 8, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellevue Legacy Primary Care PLLCGroup PAC ID 0749720860, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenna.donnerberg.1@31584.direct.athenahealth.com

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.

• Bellevue Legacy Primary Care PLLC

  • Family Medicine Physician
  • Bellevue, WA
  • NPI 1619712320
  Medicare reassignment Care Compare group NPD
• Northwest Pain Consultants PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Bellevue, WA
  • NPI 1649312695
  NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1952132359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15111 229TH DR SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729557",
            "telephone_number": "206-902-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15111 229TH DR SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729557",
            "telephone_number": "206-902-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNERBERG",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "MSN, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "2024062818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Helen Devore, PT
• Michael Faustino Devore
• Hannah Noelle Dezonia Farmer, LMHC
• Shira Diem
• Jensen Dockendorf
• John Doric
• Michael Robert Douglas
• Dr. Douglas K. White, PLLC (Olympic Naturopathic Wellness Center)
• Dr. Lisa Uglialoro PLLC
• Liang Du, M.D, PHD

• Family Nurse Practitioner in Monroe, WA
• Providers in Monroe, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.

Verify at the official NPI Registry.