MICHAEL S MCCONNELL – Psychiatric/Mental Health Registered Nurse, NPI 1356693683

MICHAEL S MCCONNELL is a healthcare provider. based in Santa maria, California. specializing in NURSE PRACTITIONER. They hold a License No. 21104 (CA). The NPI Number for MICHAEL S MCCONNELL is 1356693683

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL S MCCONNELL
NPI
1356693683
Phone
(805) 361-8028
Address
2050 S BLOSSER RD
Enumeration Date
10 October 2012
Last Update Date
14 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8056815190
Graduation Year
2011 (15 years ago)
PAC ID
7214151687
Group Practice PAC ID
9335052083
Professional Enrollment ID
I20140605001185
Address ID
CA931101002SA4444XREAL300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for MICHAEL S MCCONNELL

  • 2050 S BLOSSER RD

    SANTA MARIA, CA 934587310

    Phone: (805) 361-8028

    Fax: (805) 361-8097

    Type: Mailing

  • 1551 BISHOP ST

    A160

    SAN LUIS OBISPO, CA 934014635

    Phone: (805) 269-1350

    Fax: (805) 269-1384

    Type: Location

  • 500 W FOSTER RD

    SANTA MARIA, CA 934553620

    Phone: (805) 934-6380

    Fax: (805) 934-6600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $282.

Total Amount is formed as General ($282) + Research ($0) + Ownership ($0) = $282.

Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($133).

Total Amount

$282

General + Research + Ownership

Payments

12

Total payment records

General Amount

$282

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140605001185INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes11743$0
View full utilization report →

Insurance plans in this area (ZIP 93458)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335052083View full group profile
NameSpecialtyState
Physician AssistantVA
Family PracticeCA
Orthopedic SurgeryCA
E N D O C R I N O L O G YCA
Internal Medicine, RheumatologyCA
Clinical PsychologistCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Anesthesiology, General PracticeTX
Gastroenterology, Internal MedicineCA

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL S MCCONNELL?
NPI 1356693683 is assigned to MICHAEL S MCCONNELL under the national enumeration system.
Is MICHAEL S MCCONNELL's NPI currently valid?
The extract we use shows MICHAEL S MCCONNELL as active.
What kind of provider is MICHAEL S MCCONNELL?
The page reflects Psychiatric/Mental Health Registered Nurse for MICHAEL S MCCONNELL. Clinical services aligned with this taxonomy classification.
Where is MICHAEL S MCCONNELL's primary listing?
We display Santa Maria, California because that is what the record indicates for MICHAEL S MCCONNELL.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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