Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Casey Owen Donovan

Individual provider Family Nurse Practitioner · NPI 1326919424

Casey Owen Donovan is a Nurse Practitioner in Fulton, New York. Qualified in 2025, 1 year ago. Practices with Physician Care PC, a 77-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025

Practice location Address checks out

522 S 4th St Ste 1700
Fulton, NY 13069-2918
Phone: (315) 592-3930
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 357028 (NY)

Record details

NPI number1326919424
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 13, 2025
Last updated in NPPESSeptember 13, 2025
Certification dateSeptember 13, 2025
Mailing address110 W 6th St, Oswego, NY 13126-2507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Physician Care Pc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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