AMANDA LEWIS CONNORS (PA-C) – Physician Assistant, NPI 1275018962
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
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Provider Addresses for AMANDA LEWIS CONNORS (PA-C)
80 SEYMOU STREET
HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 061025037
Phone: (860) 972-5022
Type: Mailing
Hartford Hospital, 80, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06102, United States
HARTFORD HOSPITAL SURGERY DEPT
HARTFORD, CT 061025037
Phone: (860) 972-5022
Type: Location
3820 NORTHDALE BLVD STE 201
TAMPA, FL 336241893
Phone: (800) 991-6117
Type: Mailing
2290 10TH AVE N STE 101
LAKE WORTH, FL 334616609
Phone: (800) 991-6117
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $136.
Total Amount is formed as General ($136) + Research ($0) + Ownership ($0) = $136.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($46).
Total Amount
$136
General + Research + Ownership
Payments
6
Total payment records
General Amount
$136
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| REVANCE THERAPEUTICS, INC. | $46 |
| ABBVIE INC. | $42 |
| MILLICENT US INC | $24 |
| Merz North America, Inc. | $24 |
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: 2025-10-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251030005338 | I | Physician Assistant | FL | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | PA | |
| Internal Medicine | SC | |
| Physician Assistant | AL | |
| - | FL | |
| Vascular Surgery, General Surgery | FL | |
| General Surgery | FL | |
| Internal Medicine | NJ | |
| General Surgery | FL | |
| Nurse Practitioner | FL | |
| P O D I A T R Y | FL |
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