Individual provider Active NPI

Rebecca Anne Connolly, ARNP

  • Women's Health Nurse Practitioner
  • Greenacres, FL
National Provider Identifier
1750764734
Registry record updated Mar 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN9303849 Issued in FL
Practice address
6801 Lake Worth Rd
Suite 100W
Greenacres, FL 33467
Phone
(561) 965-9559
Fax
(561) 964-9904
NPI assigned
Jul 8, 2015
Last updated
Mar 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9303849 FL
Women's Health Nurse Practitioner 363LW0102X APRN9303849 FL Primary

Addresses

Primary practice location

6801 Lake Worth Rd
Suite 100W
Greenacres, FL 33467

Mailing address

6801 Lake Worth Rd
Suite 100W
Greenacres, FL 33467
Phone (561) 965-9559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150918001957 FL Practitioner - Nurse Practitioner 6305153602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Critical Care and SleepGroup PAC ID 1658610910, 19 clinicians

Practice addresses (Care Compare)

5401 S Congress Ave
Suite 204
Atlantis, FL 33462-6637
Phone (561) 967-4118

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9303849FLMDFamily Nurse Practitioner
APRN9303849FLMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC CurrentSince Sep 10, 2018 Accepting new patients
Pulmonary Critical Care and Sleep CurrentSince Oct 1, 2024 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

6801 Lake Worth Rd
Ste 100W
Greenacres, FL 33467
Phone (561) 965-9559

5401 S Congress Ave
Ste 204
Lake Worth, FL 33462
Phone (561) 967-4118

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

10131 Forest Hill Blvd
Ste 101
West Palm Beach, FL 33414
Phone (561) 798-4455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEEBD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1750764734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LAKE WORTH RD",
            "address_2": "SUITE 100W",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "561-965-9559",
            "fax_number": "561-964-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 LAKE WORTH RD",
            "address_2": "SUITE 100W",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "561-965-9559",
            "fax_number": "561-964-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9303849",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN9303849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.