CONNOR REZZONICO (PMHNP) – Registered Nurse, NPI 1063184968
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for CONNOR REZZONICO (PMHNP)
1110 W PARK PL STE 222
COEUR D ALENE, ID 838142784
Phone: (208) 625-7695
Fax: (949) 864-3597
Type: Mailing
1508 MONROE CT
CHEYENNE, WY 820016465
Phone: (719) 502-1369
Type: Mailing
1174 N 22ND ST
LARAMIE, WY 820725401
Phone: (307) 766-3313
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $1,170.
Total Amount is formed as General ($1,170) + Research ($0) + Ownership ($0) = $1,170.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($282).
Total Amount
$1,170
General + Research + Ownership
Payments
63
Total payment records
General Amount
$1,170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-01-11
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 |
|---|---|---|---|---|
| I20230111000009 | I | Nurse Practitioner | ID | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 52 | 17 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 11 | 11 | $0 |
Insurance plans in this area (ZIP 83814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner, Certified Nurse Midwife (Cnm) | WA | |
| Mental Health Counselor | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| Nurse Practitioner | ID |
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