MRS. MARIANNE CONNELLY (F.N.P.) – Nurse Practitioner, NPI 1164671194

MRS. MARIANNE CONNELLY (F.N.P.) is a healthcare provider. based in Revere, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials F.N.P.. They hold a License No. 263434 (MA). The NPI Number for MRS. MARIANNE CONNELLY (F.N.P.) is 1164671194

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIANNE CONNELLY (F.N.P.)
NPI
1164671194
Phone
(781) 485-1000
Address
385 BROADWAY STE 4
Enumeration Date
15 September 2008
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6177262000
Graduation Year
2006 (20 years ago)
PAC ID
8628131869
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20090114000034
Address ID
MA021142621BO55XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MRS. MARIANNE CONNELLY (F.N.P.)

  • 385 BROADWAY STE 4

    REVERE, MA 021513059

    Phone: (781) 485-1000

    Fax: (781) 286-5418

    Type: Location

  • 760, Winchester Hanging Rock Road, Timaru District, Canterbury, New Zealand

    WINCHESTER, MA 018904260

    Phone: (781) 756-7273

    Fax: (781) 721-8725

    Type: Mailing

  • 46, Woburn Street, Woburn Street Historic District, Reading Highlands, Reading, Middlesex County, Massachusetts, 01867, United States

    READING, MA 01867

    Phone: (781) 944-0600

    Fax: (781) 942-0253

    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: 2009-01-14

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
I20090114000034INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes9182$0
99215Established patient office or other outpatient visit, 40-54 minutes2423$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
36415Insertion of needle into vein for collection of blood sample1312$0
View full utilization report →

Insurance plans in this area (ZIP 02151)

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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: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

What number should I use to identify MRS. MARIANNE CONNELLY (F.N.P.) for billing?
Administrative and clinical systems typically use NPI 1164671194 for MRS. MARIANNE CONNELLY (F.N.P.).
Is MRS. MARIANNE CONNELLY (F.N.P.) currently accepting referrals based on NPI status?
Registry metadata lists MRS. MARIANNE CONNELLY (F.N.P.) as active.
What type of care does MRS. MARIANNE CONNELLY (F.N.P.) provide?
MRS. MARIANNE CONNELLY (F.N.P.)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. MARIANNE CONNELLY (F.N.P.)?
MRS. MARIANNE CONNELLY (F.N.P.) shows a connection to Revere, Massachusetts in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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