Individual provider Active NPI

Stephanie Connors, NP-C

  • Nurse Practitioner
  • Worcester, MA
National Provider Identifier
1982011003
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2281788 Issued in MA
Practice address
162 Chandler St
Worcester, MA 01609-2924
Phone
(508) 860-1048
Fax
(508) 421-4393
NPI assigned
Jul 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2281788 MA Primary
Community Health Nurse Practitioner 363LC1500X RN2281788 MA
Primary Care Nurse Practitioner 363LP2300X RN2281788 MA

Addresses

Primary practice location

162 Chandler St
Worcester, MA 01609-2924

Mailing address

162 Chandler St
Worcester, MA 01609-2924
Phone (508) 860-1048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20141023000555 MA Practitioner - Nurse Practitioner 7315168960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Family Health Center of Worcester, Inc.Group PAC ID 4789670985, 94 clinicians

Practice addresses (Care Compare)

199 Chandler St
FL 4
Worcester, MA 01609-3088
Phone (508) 860-7888

Hospital & facility affiliations

  • Umass Memorial Medical Center/University Campus Hospital, Worcester, MA, CCN 220163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2281788MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Worcester, Inc. CurrentSince Mar 31, 2020 Accepting new patients
Family Health Center of Worcester, Inc. CurrentSince Mar 31, 2020 Accepting new patients

Locations

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

199 Chandler St
Fl 4
Worcester, MA 01609
Phone (508) 860-7888

162 Chandler St
Worcester, MA 01609
Phone (508) 860-1080

199 Chandler St
Worcester, MA 01609
Phone (508) 373-7854

Interoperability endpoints

  • Direct secure messaging: sconnors47748@direct.ctc.masshiway.net

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 1

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1982011003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092924",
            "telephone_number": "508-860-1048",
            "fax_number": "508-421-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 CHANDLER ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092924",
            "telephone_number": "508-860-1048",
            "fax_number": "508-421-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNORS",
        "first_name": "STEPHANIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2281788",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MA",
            "license": "RN2281788",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN2281788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.