Individual provider Active NPI

Robin K. McConnell, D.C.

  • Chiropractor
  • Hershey, PA
National Provider Identifier
1639143068
Registry record updated Aug 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 008970 Issued in PA
Practice address
1106 Cocoa Ave
Hershey, PA 17033-1712
Phone
(717) 520-1212
Fax
(717) 520-1221
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 008970 PA Primary
Chiropractor 111N00000X AJ008112 PA

Addresses

Primary practice location

1106 Cocoa Ave
Hershey, PA 17033-1712

Mailing address

1106 Cocoa Ave
Hershey, PA 17033-1712
Phone (717) 520-1212

Other identifiers 4

IdentifierTypeStateIssuer
358450OtherPAGROUP HIGHMARK PROVIDER
MC1638328OtherPAHIGHMARK
7748676OtherPAAETNA PPO
3794669OtherPAAETNA HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000001 PA Practitioner - Chiropractic 6204720782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Health ChiropracticGroup PAC ID 8022154780, 2 clinicians

Practice addresses (Care Compare)

1654 E Chocolate Ave
Hershey, PA 17033-1119
Phone (717) 520-1212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ008112PAMDChiropractor
DC 008970PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Health Chiropractic Chiropractor CurrentSince Sep 1, 2009 Accepting new patients
Wellcare Chiropractic, Inc. Chiropractor PastSince Jun 28, 1993 Accepting new patients

Locations

1654 E Chocolate Ave
Hershey, PA 17033
Phone (717) 520-1212

1106 Cocoa Ave
Hershey, PA 17033
Phone (717) 520-1212

1654 E Chocolate Ave
Ste 2
Hershey, PA 17033

Organizations & group practices 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251417600000",
    "number": "1639143068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331712",
            "telephone_number": "717-520-1212",
            "fax_number": "717-520-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331712",
            "telephone_number": "717-520-1212",
            "fax_number": "717-520-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "ROBIN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2009-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 008970",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ008112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HIGHMARK PROVIDER",
            "identifier": "358450",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "MC1638328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7748676",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3794669",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.