Helen Elizabeth Connolly, NP
Individual provider Active NPI Nurse Practitioner · Charlton, MA
NPI 1871323949 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1871323949
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN2311690 (MA)
- Practice address
- 10 N Main St
Charlton, MA 01507-1590 - Phone
- (508) 248-3015
- Fax
- (508) 248-4734
- NPI assigned
- Aug 5, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
10 N Main St
Charlton, MA 01507-1590
Phone (508) 248-3015
Hospital & facility affiliations
- Umass Memorial Health - Harrington Hospital
- Umass Memorial Medical Center/University Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028000472 | MA | Practitioner - Nurse Practitioner | 6406389634 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Nurse Practitioner | Current |
Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients |
Locations
10 N Main St
Charlton, MA 01507
Phone (508) 248-3015
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2311690 | MA | |
| Nurse Practitioner | 363L00000X | RN2311690 | MA | Yes |
Addresses
Primary practice location
10 N Main St
Charlton, MA 01507-1590
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (008) 225-8885
Other providers in Charlton, MA
- Lauryn Ciszek
- Jeffrey P Cohen
- Nancy Colby
- Katherine Mary Coleman
- Pamela Colon Grigas
- Laura Cos
- Victoria Crowe
- Rhianna Curotto
- CVS Pharmacy Inc
- Cara Ann Davis
All providers in Charlton, MA · Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.