NPIMap

Individual provider Active NPI

Abigail Connell

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1801441530
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2151 Issued in NV
Practice address
6275 Sharlands Ave
Reno, NV 89523-2785
Phone
(775) 204-4000
Fax
(775) 234-4605
NPI assigned
Aug 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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 PA2151 NV Primary

Addresses

Primary practice location

6275 Sharlands Ave
Reno, NV 89523-2785

Mailing address

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

Other practice location 1

5265 Vista Blvd Bldg B
Sparks, NV 89436-0836
Phone (775) 352-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191018001189 NV Practitioner - Physician Assistant 3173854395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Medical Group Hicks PCGroup PAC ID 4385059625, 34 clinicians

Practice addresses (Care Compare)

5975 S Los Altos Pkwy
Sparks, NV 89436-7699
Phone (775) 204-4000

6275 Sharlands Ave
Suite B15
Reno, NV 89523-3734
Phone (775) 204-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2151NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Nevada Medical Group, LLC CurrentSince Sep 30, 2019 Accepting new patients

Locations

6630 S McCarran Blvd
Ste 9
Reno, NV 89509
Phone (725) 829-1212

5265 Vista Blvd
Bldg B
Sparks, NV 89436
Phone (775) 352-5335

2345 E Prater Way
Ste 207
Sparks, NV 89434
Phone (775) 352-5301

2385 E Prater Way
Ste 205
Sparks, NV 89434
Phone (775) 356-4888

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.

Hospital & facility affiliations 9

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": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1801441530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 S LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367699",
            "telephone_number": "775-204-4000",
            "fax_number": "775-234-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6275 SHARLANDS AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232785",
            "telephone_number": "775-204-4000",
            "fax_number": "775-234-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5265 Vista Blvd Bldg B",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894360836",
            "country_code": "US",
            "telephone_number": "775-352-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNELL",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.