CONNOR JAMES LABELLA (PA-C) – Physician Assistant, NPI 1033995774

CONNOR JAMES LABELLA (PA-C) is a healthcare provider. based in Boardman, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA217744 (OR). The NPI Number for CONNOR JAMES LABELLA (PA-C) is 1033995774

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
CONNOR JAMES LABELLA (PA-C)
NPI
1033995774
Phone
(941) 586-2520
Address
320 NE COLUMBIA AVE APT 306E
Enumeration Date
7 September 2023
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7075568100
Graduation Year
2023 (3 years ago)
PAC ID
1557718889
Group Practice PAC ID
1557258282
Professional Enrollment ID
I20250521002695
Address ID
CA945906004VA415XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for CONNOR JAMES LABELLA (PA-C)

  • 320 NE COLUMBIA AVE APT 306E

    BOARDMAN, OR 978189525

    Phone: (941) 586-2520

    Type: Mailing

  • 415 GEORGIA ST

    VALLEJO, CA 945906004

    Phone: (707) 556-8100

    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: 2025-05-21

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
I20250521002695IPhysician AssistantCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97818)

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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: 1557258282View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Nurse PractitionerCA
-CA
Nurse PractitionerCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Family PracticeCA
-CA
O P T O M E T R YCA
Family PracticeCA

Reviews

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Frequently asked questions

Can I verify CONNOR JAMES LABELLA (PA-C) with an NPI only?
You can start verification with NPI 1033995774 for CONNOR JAMES LABELLA (PA-C), then check state licensing separately.
Is CONNOR JAMES LABELLA (PA-C) listed as active for patients and plans?
The listing shows CONNOR JAMES LABELLA (PA-C) as active in the NPI system.
What is CONNOR JAMES LABELLA (PA-C)'s primary classification?
Physician Assistant is the headline specialty for CONNOR JAMES LABELLA (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect CONNOR JAMES LABELLA (PA-C) on a map?
Expect Boardman, Oregon as a primary anchor for CONNOR JAMES LABELLA (PA-C) unless the record lists multiple sites.
Why does CONNOR JAMES LABELLA (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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