Richard F Connelly, RNC, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN6635 Issued in TN

Practice address

4261 Big Creek Rd
Hartford, TN 37753-2220

Phone

(423) 487-2249

Fax

(423) 487-3707

NPI assigned

Jan 26, 2006

Last updated

Feb 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

University of Tennessee, HSC, College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rural Medical Services, Inc.Group PAC ID 1456384080, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Smoky Mountain Home Health and Hospice, Inc Home health agency, Newport, TN, CCN 447195
• Tennova Healthcare - Newport Medical Center Hospital, Newport, TN, CCN 440153

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.connelly.p1@direct.ruralmedicalservices.nextgenshare.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.

• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newport, TN
  • NPI 1962443697
  Medicare reassignment Care Compare group NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newport, TN
  • NPI 1437191194
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • White Pine, TN
  • NPI 1477424802
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrottsville, TN
  • NPI 1669417481
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Dandridge, TN
  • NPI 1871535583
  NPD
• Rural Medical Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hartford, TN
  • NPI 1871537639
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cocke County Hma, LLC

  dba Tennova Healthcare-Newport Medical Center

  • General Acute Care Hospital
  • Newport, TN
  • NPI 1972576247
  Care Compare affiliation
• Smoky Mountain Home Health & Hospice, Inc

  • Home Health Agency
  • Newport, TN
  • NPI 1972583235
  Care Compare affiliation

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1043280340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 BIG CREEK RD",
            "city": "HARTFORD",
            "state": "TN",
            "postal_code": "377532220",
            "telephone_number": "423-487-2249",
            "fax_number": "423-487-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 BIG CREEK RD",
            "city": "HARTFORD",
            "state": "TN",
            "postal_code": "377532220",
            "telephone_number": "423-487-2249",
            "fax_number": "423-487-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "RICHARD",
        "middle_name": "F",
        "credential": "RNC, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN90651",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN6635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie N Lunsford, RNC, FNP
• John D Lynch II, M.D.
• Rural Medical Services, Inc.

• Nurse Practitioner in Hartford, TN
• Providers in Hartford, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.