SARAH CONNEELY (N.P.) – Nurse Practitioner, NPI 1770611121

SARAH CONNEELY (N.P.) is a healthcare provider. based in Bend, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. 564141 (CA). The NPI Number for SARAH CONNEELY (N.P.) is 1770611121

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SARAH CONNEELY (N.P.)
NPI
1770611121
Phone
(541) 323-3358
Address
464 NE NORTON AVE
Enumeration Date
28 February 2007
Last Update Date
30 January 2025

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
5413233358
Graduation Year
2003 (23 years ago)
PAC ID
0042740920
Group Practice PAC ID
3274551379
Professional Enrollment ID
I20250206003046
Address ID
OR977014387BE464XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for SARAH CONNEELY (N.P.)

  • 464 NE NORTON AVE

    BEND, OR 977014387

    Phone: (541) 323-3358

    Type: Mailing

  • 2537 WASHINGTON AVE

    REDWOOD CITY, CA 940612550

    Phone:

    Type: Mailing

  • 1720 EL CAMINO REAL

    SUITE #130

    BURLINGAME, CA 940103224

    Phone: (650) 692-0977

    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: 2025-02-06

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
I20250206003046INurse PractitionerORTBD

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 97701)

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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: 3274551379View full group profile
NameSpecialtyState
C H I R O P R A C T I COR
General PracticeOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for SARAH CONNEELY (N.P.)?
SARAH CONNEELY (N.P.) — NPI 1770611121 — is the standard way to identify this listing.
Does the file indicate SARAH CONNEELY (N.P.) is practicing under active NPI?
Directory data currently reports SARAH CONNEELY (N.P.) as active.
What taxonomy line describes SARAH CONNEELY (N.P.)?
For research purposes, treat SARAH CONNEELY (N.P.) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SARAH CONNEELY (N.P.) on a map?
Expect Bend, Oregon as a primary anchor for SARAH CONNEELY (N.P.) 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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