KATHERINE CONNOLLY (NP) – Adult Health Nurse Practitioner, NPI 1225218712

KATHERINE CONNOLLY (NP) is a healthcare provider. based in Somerville, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 26NN08398600 (NJ). The NPI Number for KATHERINE CONNOLLY (NP) is 1225218712

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE CONNOLLY (NP)
NPI
1225218712
Phone
(908) 685-2200
Address
110 REHILL AVE
Enumeration Date
13 November 2007
Last Update Date
20 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7323695972
Graduation Year
1999 (27 years ago)
PAC ID
6002997533
Group Practice PAC ID
8628065117
Professional Enrollment ID
I20080122000649
Address ID
NJ088762519SO110XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for KATHERINE CONNOLLY (NP)

  • 110 REHILL AVE

    SOMERVILLE, NJ 088762519

    Phone: (908) 685-2200

    Fax: (732) 923-2272

    Type: Location

  • 107 Cedar Grove Ln

    SUITE 101

    Somerset, NJ 088734719

    Phone: (732) 356-7600

    Fax: (732) 356-7625

    Type: Location

  • 107, Cedar Grove Lane, Ukrainian Village, Franklin Township, Somerset County, New Jersey, 08873, United States

    SUITE 101

    SOMERSET, NJ 088734719

    Phone: (732) 356-7600

    Fax: (732) 356-7625

    Type: Mailing

  • 379 CAMPUS DR FL 4

    SOMERSET, NJ 088731161

    Phone: (732) 937-8939

    Fax: (732) 418-8372

    Type: Mailing

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: 2008-01-22

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
I20080122000649INurse PractitionerNJTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 08876)

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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: 8628065117View full group profile

Reviews

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Frequently asked questions

How is KATHERINE CONNOLLY (NP) identified in CMS data?
CMS-hosted NPPES data lists KATHERINE CONNOLLY (NP) with NPI 1225218712.
Can I rely on KATHERINE CONNOLLY (NP) being an active provider?
As of the registry snapshot, KATHERINE CONNOLLY (NP) is marked active.
What taxonomy line describes KATHERINE CONNOLLY (NP)?
For research purposes, treat KATHERINE CONNOLLY (NP) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KATHERINE CONNOLLY (NP) on a map?
Expect Somerville, New Jersey as a primary anchor for KATHERINE CONNOLLY (NP) unless the record lists multiple sites.
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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