NPIMap

Individual provider Active NPI

Nathaniel Raymond Connors

  • Physician Assistant
  • Nashua, NH
National Provider Identifier
1104491083
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2148 Issued in NH
Practice address
172 Kinsley St
Nashua, NH 03060-3648
Phone
(603) 882-3000
NPI assigned
May 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.008467 IL
Student in an Organized Health Care Education/Training Program 390200000X FL
Physician Assistant 363A00000X 2148 NH Primary

Addresses

Primary practice location

172 Kinsley St
Nashua, NH 03060-3648

Mailing address

172 Kinsley St
Nashua, NH 03060-3648

Other practice location 1

2011 York Rd
Oak Brook, IL 60523-1992
Phone (877) 632-6637

Other practice location 2

1611 W Harrison St
Chicago, IL 60612-4861
Phone (877) 632-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MA, NH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211004001196 IL Practitioner - Physician Assistant 2062810146 Reassigns benefits to 2 organizations
I20230627002695 MA Practitioner - Physician Assistant 2062810146 Reassigns benefits to 3 organizations
I20250910000568 NH Practitioner - Physician Assistant 2062810146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Medical Group Northern Massachusetts IncGroup PAC ID 3577467224, 817 clinicians
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians

Practice addresses (Care Compare)

1 Hutchinson Dr
Danvers, MA 01923-3748
Phone (978) 739-6950

168 Kinsley St
Nashua, NH 03060-3634

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

Hospital & facility affiliations

  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Winchester Hospital Hospital, Winchester, MA, CCN 220105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2148NHMDPhysical Therapist
085.008467ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH CurrentSince Sep 15, 2025 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 15, 2025 Accepting new patients
Midwest Orthopaedics at Rush, LLC CurrentSince Aug 16, 2021 Accepting new patients
Midwest Orthopaedics at Rush LLC CurrentSince Aug 16, 2021 Accepting new patients
Orthomidwest, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Jul 1, 2024 Accepting new patients
Orthomidwest, PLLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

2011 York Rd
Oak Brook, IL 60523
Phone (312) 942-6100

1 Westbrook Corporate Ctr
Ste 240
Westchester, IL 60154

25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

370 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Interoperability endpoints

  • Direct secure messaging: connors.nathaniel.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: nconnors3034916@direct.bsmhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1104491083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 KINSLEY ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030603648",
            "telephone_number": "603-882-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 York Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231992",
            "country_code": "US",
            "telephone_number": "877-632-6637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606124861",
            "country_code": "US",
            "telephone_number": "877-632-6637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "NATHANIEL",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.008467",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "2148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.