DANA JEAN CONNOLLY (NP) – Nurse Practitioner, NPI 1164070736
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DANA JEAN CONNOLLY (NP)
555, Pier Avenue, Hermosa Beach, Los Angeles County, California, 90254, United States
HERMOSA BEACH, CA 902543839
Phone: (310) 374-6600
Type: Location
1225 15th St Ste 2100
Santa Monica, CA 904041101
Phone: (310) 319-1234
Type: Location
403 W Adams Blvd
Los Angeles, CA 900072664
Phone: (213) 741-8330
Type: Location
555 Pier Ave
Hermosa Beach, CA 902543839
Phone: (310) 374-6600
Type: Location
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 900455631
Phone:
Type: Mailing
1225 15TH ST STE 2100
SANTA MONICA, CA 904041101
Phone: (310) 319-1234
Type: Location
300 PASTEUR DR
STANFORD, CA 943052200
Phone: (650) 723-4000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $840.
Total Amount is formed as General ($840) + Research ($0) + Ownership ($0) = $840.
Last reported payment date: 2023-03-17 • Largest payer in this snapshot: Abbott Laboratories ($840).
Total Amount
$840
General + Research + Ownership
Payments
13
Total payment records
General Amount
$840
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $840 |
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: 2020-02-19
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200219001917 | I | Nurse Practitioner | CA | TBD |
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.
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 90254)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.