MS. TAMARA LEE CONNELLY (APRN) – Family Nurse Practitioner, NPI 1790035012

MS. TAMARA LEE CONNELLY (APRN) is a healthcare provider. based in South windsor, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 5106 (CT). The NPI Number for MS. TAMARA LEE CONNELLY (APRN) is 1790035012

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. TAMARA LEE CONNELLY (APRN)
NPI
1790035012
Phone
(860) 394-9792
Address
2202 MILL POND DR
Enumeration Date
13 September 2012
Last Update Date
11 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8889646681
Graduation Year
2012 (14 years ago)
PAC ID
6204087349
Group Practice PAC ID
8729345822
Professional Enrollment ID
I20121119000262
Address ID
CT064577568MI101XXDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:13State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MS. TAMARA LEE CONNELLY (APRN)

  • 2202 MILL POND DR

    SOUTH WINDSOR, CT 06074

    Phone: (860) 394-9792

    Type: Mailing

  • 98 SHAKER RD

    EAST LONGMEADOW, MA 010282731

    Phone: (413) 525-3958

    Fax: (413) 525-3943

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-08-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20121119000262INurse PractitionerCTTBD
I20130809000255INurse PractitionerMATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes546131$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes360111$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes6828$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes6438$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes6024$0
View full utilization report →

Insurance plans in this area (ZIP 06074)

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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: 8729345822View full group profile
NameSpecialtyState
P S Y C H I A T R YMA
Nurse PractitionerMA
Nurse PractitionerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
Clinical Social WorkerMA
Nurse PractitionerMA
Nurse PractitionerMA
Mental Health CounselorMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

How is MS. TAMARA LEE CONNELLY (APRN) identified in CMS data?
CMS-hosted NPPES data lists MS. TAMARA LEE CONNELLY (APRN) with NPI 1790035012.
Is MS. TAMARA LEE CONNELLY (APRN) listed as active for patients and plans?
The listing shows MS. TAMARA LEE CONNELLY (APRN) as active in the NPI system.
What is MS. TAMARA LEE CONNELLY (APRN) best known for clinically?
Directory data describes MS. TAMARA LEE CONNELLY (APRN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MS. TAMARA LEE CONNELLY (APRN) list a practice location?
Patients near South Windsor, Connecticut may find MS. TAMARA LEE CONNELLY (APRN) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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