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CAROLINE L CONNELLY FNP NPI 1790093391


NPI Information

NPI: 1790093391
Provider Name: CAROLINE L CONNELLY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
691 MURPHY RD
SUITE 107
MEDFORD, OR
ZIP 97504
Phone: (541) 789-6460
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Caroline L Connelly, FNP is a family nurse practitioner in Medford, OR. Caroline L Connelly, FNP NPI is 1790093391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

691 MURPHY RD
SUITE 107
MEDFORD, OR
ZIP 97504-346
Phone: (541) 789-6460
Fax: (541) 789-6461

The NPI 1790093391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Automated urinalysis test (HCPCS:81003)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 9/16/2010 and was last updated on 10/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363L00000XNurse Practitioner201020177NPOREGONNo
2363LF0000XNurse PractitionerFamily201050177NPOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500629732MEDICAIDOREGON
2R156535MEDICARE PINOREGON
3R104443MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.