MR. JOHN T CONNORS (NP-C) – Family Nurse Practitioner, NPI 1477831121

MR. JOHN T CONNORS (NP-C) is a healthcare provider. based in Jbsa-randolph afb, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 904871 (MS). The NPI Number for MR. JOHN T CONNORS (NP-C) is 1477831121

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN T CONNORS (NP-C)
NPI
1477831121
Phone
(201) 652-4264
Address
359 MEDICAL GROUP
Enumeration Date
29 July 2011
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2284712273
Graduation Year
2005 (21 years ago)
PAC ID
5395068431
Group Practice PAC ID
6709008659
Professional Enrollment ID
I20211123002703
Address ID
MS395815310PA4211XSTXX301

Contacts

Main Contact
https://www.airforcemedicine.af.mil/MTF/Randolph/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness95
Years active:14State licenses:1Other names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MR. JOHN T CONNORS (NP-C)

  • 359 MEDICAL GROUP

    221 THIRD STREET WEST, BLDG. 1040

    JBSA-RANDOLPH AFB, TX 78150

    Phone: (201) 652-4264

    Type: Location

  • 301 FISHER ST

    KEESLER AFB, MS 395342519

    Phone: (228) 376-3747

    Fax: (228) 376-0593

    Type: Mailing

  • 2101 HIGHWAY 90

    GAUTIER, MS 395535340

    Phone: (228) 497-7576

    Fax: (228) 497-8869

    Type: Mailing

  • 4511 HOSPITAL ST

    PASCAGOULA, MS 395815336

    Phone: (228) 769-7791

    Fax: (228) 769-7747

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-08-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-11-23

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
I20211123002703INurse PractitionerMSTBD

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
87804Detection test by immunoassay with direct visual observation for influenza virus2613$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1616$0
99214Established patient office or other outpatient visit, 30-39 minutes1515$0
99213Established patient office or other outpatient visit, 20-29 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 78150)

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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: 6709008659View full group profile
NameSpecialtyState
Nurse PractitionerCO
Physician AssistantMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerMS
-MS
Physician AssistantLA
Nurse PractitionerMS

Reviews

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Frequently asked questions

Where can patients find MR. JOHN T CONNORS (NP-C)'s NPI?
You can confirm MR. JOHN T CONNORS (NP-C) with NPI 1477831121; it appears in the national provider directory.
Is MR. JOHN T CONNORS (NP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. JOHN T CONNORS (NP-C)'s specialty in plain language?
Clinically, the directory lists MR. JOHN T CONNORS (NP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. JOHN T CONNORS (NP-C)'s primary listing?
We display Jbsa-Randolph Afb, Texas because that is what the record indicates for MR. JOHN T CONNORS (NP-C).
How can I contact MR. JOHN T CONNORS (NP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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