Individual provider Active NPI

Beth Ann Connell, NP

  • Nurse Practitioner
  • Southbridge, MA
National Provider Identifier
1225228562
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN258494 Issued in MA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000129 MA Practitioner - Nurse Practitioner 8921188152 Reassigns benefits to 4 organizations

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
Umass Memorial Medical Group IncGroup PAC ID 4284539891, 2,494 clinicians

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

LicenseStateTypeSpecialty
RN258494MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC Nurse Practitioner CurrentSince Dec 11, 2013 Accepting new patients
Ideal Healthcare Solutions LLC Nurse Practitioner CurrentSince Sep 14, 2021 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Apr 20, 2021 Accepting new patients
Umass Memorial Medical Group Inc Nurse Practitioner CurrentSince Sep 10, 2024 Accepting new patients
Ipc Hospitalists of New England, P.C. Nurse Practitioner CurrentSince Dec 11, 2013 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.