Kelly F Connor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3288 Issued in AZ

Practice address

4852 E Baseline Rd
Ste C107
Mesa, AZ 85206-4627

Phone

(480) 834-7000

Fax

(480) 834-7002

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelly F Stanley Former name

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

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mullen Orthopedic Clinic PLC 3 clinicians

Primary Care Practice of Arizona PLLC 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aegis Homecare, Inc Home health agency, Mesa, AZ, CCN 037422
• Aegis Hospice, Inc. Hospice, Mesa, AZ, CCN 031613

Merit-based Incentive Payment System (MIPS)

Final score

85.58 of 100Reported as group

Quality

94.5

Promoting interoperability

98

Improvement activities

40

Cost

59.1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.connor@57560418353156.direct.elationemr.com

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.

• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1265904247

  AZ

  Medicare reassignment Care Compare group NPD
• Mullen Orthopedic Clinic PLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Mesa, AZ
  • NPI 1568811644

  AZ

  Medicare reassignment Care Compare group
• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1023970704
  NPD
• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Mesa, AZ
  • NPI 1841027695
  NPD
• Tri-City Express Care, PLLC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649554940
  NPD
• RHG of Arizona, PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1013744218
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aegis Homecare, Inc

  • Home Health Agency
  • Mesa, AZ
  • NPI 1902179302
  Care Compare affiliation
• Aegis Hospice, Inc

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1356614754

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1376669739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29870",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389870",
            "telephone_number": "602-772-3800",
            "fax_number": "602-772-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 E BASELINE RD",
            "address_2": "STE C107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064627",
            "telephone_number": "480-834-7000",
            "fax_number": "480-834-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "KELLY",
        "middle_name": "F",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "STANLEY",
            "middle_name": "F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Connect Hearing, Inc.
• Charles Connell, D.P.M.
• Haley Connelly
• Lisa Dianne Connelly, MA
• Russ Conner, PHARMD
• Lin Connor
• Tracy Nickol Connor, PA-C
• Sharon Lee Connour, LCSW
• Tanner Conover, PT, DPT
• Jeremy Larkin Conoway, PTA

• All providers in Mesa, AZ
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.

Verify at the official NPI Registry.