Active NPI
Beth Ann Connell, NP
- Nurse Practitioner
- Southbridge, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN258494
- Practice address
- 100 South St Ste 420
Southbridge, MA 01550-4051 - Phone
- (508) 909-7733
- Fax
- (508) 909-7735
- NPI assigned
- Aug 1, 2007
- Last updated
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN258494 | MA | Primary |
Addresses
Primary practice location
100 South St Ste 420
Southbridge, MA 01550-4051
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S St
Southbridge, MA 01550-4051
Phone (508) 765-9771
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN258494 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England PC | Nurse Practitioner | Current | Accepting new patients |
| Ideal Healthcare Solutions LLC | Nurse Practitioner | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Massachusetts Acute Care Specialists PC | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Nurse Practitioner | Current | Accepting new patients |
| Ipc Hospitalists of New England, P.C. | Nurse Practitioner | Current | Accepting new patients |
| NP Care, LLC | Past | Accepting new patients | |
| NP Care of Massachusetts LLC | Nurse Practitioner | Past | Accepting new patients |
| NP Care of Massachusetts, LLC | Past | Accepting new patients | |
| NP Care, LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596
640 Concord Ave
Cambridge, MA 02138
Phone (617) 497-0600
321 Centre St
Dorchester, MA 02122
Phone (617) 825-6320
111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200
170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000
67 Union St
Natick, MA 01760
Phone (508) 383-1104
111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858
37 Route 6A
Sandwich, MA 02563
Phone (508) 888-8222
100 South St
Southbridge, MA 01550
Phone (508) 764-8012
100 South St
Ste 420
Southbridge, MA 01550
Phone (508) 909-7733
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Nurse Practitioner
-
- Family Nurse Practitioner
- North Easton, MA
- NPI 1033358536
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1659555266
Nurse Practitioner
-
- Internal Medicine Physician
- Melrose, MA
- NPI 1306134812
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
Nurse Practitioner
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
-
- Nurse Practitioner
- Hatfield, MA
- NPI 1043424856
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Hatfield, MA
- NPI 1033368519
-
- Internal Medicine Physician
- Shelton, CT
- NPI 1326238866
-
- Nurse Practitioner
- Shelton, CT
- NPI 1386693182
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southbridge, MA
- NPI 1790780047
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1225228562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415348",
"city": "BOSTON",
"state": "MA",
"postal_code": "022415348",
"telephone_number": "800-225-8885",
"fax_number": "508-334-1977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SOUTH ST STE 420",
"city": "SOUTHBRIDGE",
"state": "MA",
"postal_code": "015504051",
"telephone_number": "508-909-7733",
"fax_number": "508-909-7735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNELL",
"first_name": "BETH",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN258494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.