Individual provider Active NPI

Connie Beiro Freeman, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Wilkes Barre, PA
National Provider Identifier
1114206042
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
CNP01795 Issued in NM
Practice address
1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone
(570) 808-7300
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 101-0134470 VT
Neonatal Nurse Practitioner 363LN0000X 2671445 ID
Neonatal Nurse Practitioner 363LN0000X APN.1000830-NP CO
Critical Care Neonatal Nurse Practitioner 363LN0005X CNP01795 NM Primary
Critical Care Neonatal Nurse Practitioner 363LN0005X 137875 AK
Critical Care Neonatal Nurse Practitioner 363LN0005X 5012691 NC
Critical Care Neonatal Nurse Practitioner 363LN0005X SP012272 PA

Addresses

Primary practice location

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027

Mailing address

800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Phone (505) 272-1476

Other practice location 1

111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000

Other practice location 2

3917 West Rd
Los Alamos, NM 87544-2275
Phone (505) 661-9355

Other practice location 3

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 402-7632

Other practice location 4

1055 N Curtis Rd
Boise, ID 83706-1309
Phone (208) 302-4600

Other names 1

  • Ms. Connie Beiro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NM, NY, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210602001639 PA Practitioner - Nurse Practitioner 9638322779 Reassigns benefits to 5 organizations
I20250117000463 NM Practitioner - Nurse Practitioner 9638322779 Reassigns benefits to 1 organization
I20250407001962 NY Practitioner - Nurse Practitioner 9638322779 Reassigns benefits to 1 organization
I20250703002009 CO Practitioner - Nurse Practitioner 9638322779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
101-0134470VTMDNeonatal-Perinatal Medicine Physician
4079WIMDSpeech-Language Pathologist
APN.1000830-NPCOMDNeonatal Nurse Practitioner
2671445IDMDNeonatal Nurse Practitioner
137875AKMDCritical Care Neonatal Nurse Practitioner
5012691NCMDCritical Care Neonatal Nurse Practitioner
CNP01795NMMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Neonatal-Perinatal Medicine CurrentSince Apr 18, 2022 Accepting new patients
Geisinger Clinic CurrentSince Apr 18, 2022 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince May 26, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Tower Health Medical Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 14, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
Unm Medical Group, Inc. CurrentSince Dec 16, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince May 26, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 8, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Jun 14, 2021 Accepting new patients
Auburn Community Hospital CurrentSince Mar 1, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Apr 2, 2022 Accepting new patients
DLP Conemaugh Physician Practices LLC Neonatal-Perinatal Medicine CurrentSince Apr 2, 2022 Accepting new patients
Unm Medical Group Inc CurrentSince Dec 16, 2024 Accepting new patients
Auburn Community Hospital CurrentSince Mar 1, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
University of Pittsburgh Physicians Neonatal-Perinatal Medicine CurrentSince Dec 8, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Jun 1, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Jun 1, 2024 Accepting new patients
St Mary'S Hospital and Medical Center, Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2635 N 7th St
Fl 6
Grand Junction, CO 81501
Phone (970) 298-2279

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

100 N Academy Ave
Danville, PA 17822

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

300 Halket St
#5600
Pittsburgh, PA 15213
Phone (412) 641-5164

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

1000 E Mountain Blvd
Wilkes Barre, PA 18711
Phone (570) 808-7399

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: cbeirofreeman33141@direct.med.uchc.edu
  • Direct secure messaging: cfreeman3866774@direct.trinity-health.org

Organizations & group practices 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1114206042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BRADBURY DR SE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064310",
            "telephone_number": "505-272-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187110027",
            "telephone_number": "570-808-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Colchester Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "VT",
            "postal_code": "054011473",
            "country_code": "US",
            "telephone_number": "802-847-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3917 West Rd",
            "address_purpose": "LOCATION",
            "city": "Los Alamos",
            "state": "NM",
            "postal_code": "875442275",
            "country_code": "US",
            "telephone_number": "505-661-9355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-402-7632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 N Curtis Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061309",
            "country_code": "US",
            "telephone_number": "208-302-4600",
            "fax_number": "208-302-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "CONNIE",
        "middle_name": "BEIRO",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "VT",
            "license": "101-0134470",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "ID",
            "license": "2671445",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CO",
            "license": "APN.1000830-NP",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NM",
            "license": "CNP01795",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "AK",
            "license": "137875",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NC",
            "license": "5012691",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "PA",
            "license": "SP012272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "BEIRO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.