Jared L Connor, AGACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-109689 Issued in AL

Practice address

708 Will Halsey Way Ste a
Madison, AL 35758-2566

Phone

(256) 325-7425

NPI assigned

Mar 24, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Internal Medicine and PediatricsGroup PAC ID 0547213969, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
• Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Valley Internal Medicine and Pediatrics

  • Multi-Specialty Clinic/Center
  • Madison, AL
  • NPI 1851372460
  Medicare reassignment Care Compare group NPD
• Physynergy, LLC

  • Anesthesiology Physician
  • Huntsville, AL
  • NPI 1134465560
  Medicare reassignment NPD
• Physynergy, LLC

  • Anesthesiology Physician
  • Mobile, AL
  • NPI 1093173502
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• H H Health System-Morgan LLC

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297
  Care Compare affiliation
• The Health Care Authority of the City of Huntsville

  • General Acute Care Hospital
  • Huntsville, AL
  • NPI 1447221056
  Care Compare affiliation

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1992122303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 WILL HALSEY WAY STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582566",
            "telephone_number": "256-325-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 WILL HALSEY WAY STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582566",
            "telephone_number": "256-325-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JARED",
        "middle_name": "L",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-109689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206070",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina H Congo, DMD
• Joseph B Congo
• Connect Relational Counseling, LLC
• Sherman Len Connell, D.C.
• Victoria Nicole Conners, PA-C
• Cynthia Cooper
• Selea Cooper, DPT
• Mark Isaac Copeland, A.A.
• Samantha Corbin, RD LD
• Orval Eugene Corfman, D.C.

• Acute Care Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.