Active NPI
Robin K. McConnell, D.C.
- Chiropractor
- Hershey, PA
National Provider Identifier
1639143068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 008970
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 358450 | Other | PA | GROUP HIGHMARK PROVIDER |
| MC1638328 | Other | PA | HIGHMARK |
| 7748676 | Other | PA | AETNA PPO |
| 3794669 | Other | PA | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AJ008112 | PA | MD | Chiropractor |
| DC 008970 | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Health Chiropractic | Chiropractor | Current | Accepting new patients |
| Wellcare Chiropractic, Inc. | Chiropractor | Past | 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.
-
- Chiropractor
- Hershey, PA
- NPI 1558500355
-
- Chiropractor
- Hershey, PA
- NPI 1023071628
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.