Active NPI
Caroline O'Connell, N.P.
- Nurse Practitioner
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN268759
- Practice address
- 19 Dodge St
Beverly, MA 01915-1705 - Phone
- (978) 927-0060
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 268759 | MA | |
| Nurse Practitioner | 363L00000X | RN268759 | MA | Primary |
Addresses
Primary practice location
19 Dodge St
Beverly, MA 01915-1705
Mailing address
19 Dodge St
Beverly, MA 01915-1705
Phone (845) 527-9720
Other practice location 1
480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8380
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Market St
Lynnfield, MA 01940-4048
Phone (781) 213-4050
15 Railroad Ave
South Hamilton, MA 01982-2218
Phone (978) 468-7381
305 Gloucester Crossing Rd
Gloucester, MA 01930-2283
Phone (978) 304-8380
Hospital & facility affiliations
- Northeast Hospital Corporation
- Winchester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.9 of 100
- Quality
- 82.55
- Improvement activities
- 40
- Cost
- 84.99
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN268759 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Lahey Health Primary Care, Inc. | Current | Accepting new patients | |
| Beth Israel Lahey Health Primary Care Inc | Current | Accepting new patients |
Locations
480 Maple St
Danvers, MA 01923
Phone (978) 304-8380
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
Interoperability endpoints
- https://api.platform.athenahealth.com/10729/brand/1/csg/1/fhir/r4
- coconnell231161@direct.bilh.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.
-
- Clinic/Center
- Middleboro, MA
- NPI 1568292423
-
- Family Medicine Physician
- Lynnfield, MA
- NPI 1528556529
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
-
- General Acute Care Hospital
- Winchester, MA
- NPI 1790740777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1992995195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 DODGE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151705",
"telephone_number": "845-527-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 DODGE ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151705",
"telephone_number": "978-927-0060"
}
],
"practiceLocations": [
{
"address_1": "480 Maple St",
"address_purpose": "LOCATION",
"city": "Danvers",
"state": "MA",
"postal_code": "019234065",
"country_code": "US",
"telephone_number": "978-304-8380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "O'CONNELL",
"first_name": "CAROLINE",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "268759",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN268759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.