Individual provider Active NPI

Kary L O'Connor, CNS/CRNFA

  • Perioperative Clinical Nurse Specialist
  • Casa Grande, AZ
National Provider Identifier
1215930730
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perioperative Clinical Nurse SpecialistTaxonomy code 364SP2800X
License
RN063848 Issued in AZ
Practice address
1114 E Yucca St
Casa Grande, AZ 85222-1204
Phone
(520) 836-3229
Fax
(520) 836-4053
NPI assigned
May 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perioperative Clinical Nurse Specialist 364SP2800X RN063848 AZ Primary

Addresses

Primary practice location

1114 E Yucca St
Casa Grande, AZ 85222-1204

Mailing address

1114 E Yucca St
Casa Grande, AZ 85222-1204
Phone (520) 836-3229

Other identifiers 2

IdentifierTypeStateIssuer
AZ0162090OtherAZBLUE CROSS PROVIDER #
181470MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20051102000335 AZ Practitioner - Certified Clinical Nurse Specialist (CNS) 6901823574 Practice locations: Casa Grande, AZ

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (520) 426-6303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Hospital & facility affiliations 1

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": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1215930730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 E YUCCA ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852221204",
            "telephone_number": "520-836-3229",
            "fax_number": "520-836-4053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E YUCCA ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852221204",
            "telephone_number": "520-836-3229",
            "fax_number": "520-836-4053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "KARY",
        "middle_name": "L",
        "credential": "CNS/CRNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP2800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "AZ",
            "license": "RN063848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "AZ0162090",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181470",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.