DR. NADINE EDWARDA CONNOR (DNP, MSN, APRN, BC) – Nurse Practitioner, NPI 1417939588
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. NADINE EDWARDA CONNOR (DNP, MSN, APRN, BC)
Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33647, United States
MDC 22
TAMPA, FL 336124742
Phone: (813) 307-8064
Fax: (813) 272-7116
Type: Mailing
1105, East Kennedy Boulevard, Harbour Island, Tampa, Hillsborough County, Florida, 33602, United States
SCC
TAMPA, FL 336025135
Phone: (813) 307-8064
Fax: (813) 272-7116
Type: Location
208 WEST RD
PORTAGE LAKE, ME 047688801
Phone: (813) 943-5042
Type: Location
4440 FRUITVILLE RD
SARASOTA, FL 342321926
Phone: (941) 300-4440
Fax: (941) 404-1760
Type: Mailing
1315 E 7TH AVE
TAMPA, FL 336053605
Phone: (813) 769-7207
Fax: (844) 722-0028
Type: Location
PO BOX 108
PORTAGE LAKE, ME 047680108
Phone: (813) 943-5042
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 96 Open Payments records for all available years, with a total value of $2,387.
Total Amount is formed as General ($2,387) + Research ($0) + Ownership ($0) = $2,387.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Gilead Sciences, Inc. ($887).
Total Amount
$2,387
General + Research + Ownership
Payments
96
Total payment records
General Amount
$2,387
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $887 |
| ViiV Healthcare Company | $752 |
| ABBVIE INC. | $346 |
| Theratechnologies Inc. | $162 |
| Janssen Biotech, Inc. | $48 |
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: 2024-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090212000652 | I | Nurse Practitioner | FL | TBD |
| I20240819003790 | I | Nurse Practitioner | ME | 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 33612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Emergency Medicine | FL | |
| - | FL | |
| - | FL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | FL | |
| Nurse Practitioner | FL |
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