NPIMap

Individual provider Active NPI

Rebecca Tyler O'Connor, CGC, PA-C

  • Physician Assistant
  • Springfield, MA
National Provider Identifier
1710143029
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2579 Issued in MA
Practice address
271 Carew St
Springfield, MA 01104-2377
Phone
(413) 748-9670
NPI assigned
Aug 6, 2008
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2579 MA Primary

Addresses

Primary practice location

271 Carew St
Springfield, MA 01104-2377

Mailing address

229 Pearl St
South Hadley, MA 01075-1052
Phone (413) 219-8935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161116000618 MA Practitioner - Physician Assistant 7416175617 Reassigns benefits to 5 organizations
I20251017000969 VT Practitioner - Physician Assistant 7416175617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Holyoke, MA 01040-6603

17 Belmont Ave
Brattleboro, VT 05301-3498
Phone (802) 257-0341

262 New Ludlow Rd
Chicopee, MA 01020-4324

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2579MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hampshire Pathologists, Inc. Current Accepting new patients
Holyoke Medical Center, Inc. Current Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Oct 5, 2019 Accepting new patients
Western Mass Physician Associates Inc CurrentSince Jun 26, 2023 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC CurrentSince Oct 1, 2025 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients

Locations

10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

17 Belmont Ave
Brattleboro, VT 05301
Phone (802) 257-8360

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Interoperability endpoints

  • Direct secure messaging: rebecca.oconnor@direct.hmcs.masshiway.net
  • Direct secure messaging: rbassett2389919@direct.trinity-health.org

Organizations & group practices 11

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1710143029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 PEARL ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751052",
            "telephone_number": "413-219-8935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 CAREW ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042377",
            "telephone_number": "413-748-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "REBECCA",
        "middle_name": "TYLER",
        "credential": "CGC, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.