Individual provider Active NPI

Danielle S O'Connell, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1154508687
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002926 Issued in OH
Practice address
4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953
Phone
(614) 268-6555
Fax
(614) 457-5713
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002926 OH Primary

Addresses

Primary practice location

4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953

Mailing address

4885 Olentangy River Rd Ste 1-20
Columbus, OH 43214-1953
Phone (614) 268-6555

Other identifiers 1

IdentifierTypeStateIssuer
0069246MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address doconnell171480@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20091019000404 OH Practitioner - Physician Assistant 8628154606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2489 Stelzer Rd
Suite 101
Columbus, OH 43219-4007
Phone (614) 473-1300

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
85.5
Improvement activities
40
Cost
83.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.002926OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Physician Assistant CurrentSince Oct 17, 2022 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

4885 Olentangy River Rd
Ste 1-20
Columbus, OH 43214
Phone (614) 268-6555

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: doconnell19301@copcp.medicity.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1154508687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 1-20",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141953",
            "telephone_number": "614-268-6555",
            "fax_number": "614-457-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 1-20",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141953",
            "telephone_number": "614-268-6555",
            "fax_number": "614-457-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNELL",
        "first_name": "DANIELLE",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069246",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "doconnell171480@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "5610 N Hamilton Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432301324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.