Bernadette Marie Connolly, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA15067 Issued in CA

Practice address

111 Raley Blvd
Suite 140
Chico, CA 95928-8351

Phone

(530) 342-5776

Fax

(530) 898-0178

NPI assigned

Aug 30, 2010

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

81.49 of 100Reported as group

Quality

60.52

Promoting interoperability

100

Improvement activities

40

Cost

68.7

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Enloe Medical Center

  • Obstetrics & Gynecology Physician
  • Chico, CA
  • NPI 1023420726
  NPD
• Enloe Medical Center

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD
• Glenn Medical Center, LLC

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1255632790
  NPD
• Glenn Medical Center, LLC

  • Rural Health Clinic/Center
  • Willows, CA
  • NPI 1356388961
  NPD
• Enloe Medical Center

  • Cardiovascular Disease Physician
  • Chico, CA
  • NPI 1720099328
  NPD (past)
• Feather River Hospital

  • General Acute Care Hospital
  • Paradise, CA
  • NPI 1518940667
  NPD (past)
• Feather River Hospital

  • Oxygen Equipment & Supplies (DME)
  • Chico, CA
  • NPI 1932583622
  NPD (past)

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1033425889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 RALEY BLVD",
            "address_2": "SUITE 140",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288351",
            "telephone_number": "530-342-5776",
            "fax_number": "530-898-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 RALEY BLVD",
            "address_2": "SUITE 140",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288351",
            "telephone_number": "530-342-5776",
            "fax_number": "530-898-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "BERNADETTE",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA15067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Conlin, L. AC.
• Brelynn Ashtyn Conn
• Connect Hearing, Inc.
• Sarah Brie Connell, MFT INTERN
• Jessica Lynn Conner
• Natalie Virginia Conrad
• Stephanie Lynn Consiglio, FNP
• Irene Contreras, ATC
• Alexander Jonathan Mark Cook
• Alison Erin Cook, PT, DPT

• Medical Physician Assistant in Chico, CA
• Providers in Chico, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.