Individual provider Active NPI

Laura Connallon

  • Family Nurse Practitioner
  • Austin, IN
National Provider Identifier
1992656227
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28226398A Issued in IN
Practice address
67 W Main St
Austin, IN 47102-1303
Phone
(812) 794-5725
NPI assigned
Feb 4, 2026
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28226398A IN Primary

Addresses

Primary practice location

67 W Main St
Austin, IN 47102-1303

Mailing address

67 W Main St
Austin, IN 47102-1303
Phone (812) 794-5725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260311003495 IN Practitioner - Nurse Practitioner 2062995632 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Refresh F5 IncGroup PAC ID 9032622436, 3 clinicians

Practice addresses (Care Compare)

201 S William St
South Bend, IN 46601-2515
Phone (574) 234-2870

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28226398AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 1, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Mar 1, 2026 Accepting new patients
Upperline Healthcare, PC CurrentSince Mar 1, 2026 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 1, 2026 Accepting new patients

Organizations & group practices 5

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": "1770163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1992656227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W MAIN ST",
            "city": "AUSTIN",
            "state": "IN",
            "postal_code": "471021303",
            "telephone_number": "812-794-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W MAIN ST",
            "city": "AUSTIN",
            "state": "IN",
            "postal_code": "471021303",
            "telephone_number": "812-794-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNALLON",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28226398A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, IN

Sources for this page

Verify at the official NPI Registry.