MILDRED CATHERINE CONNEELY ARNP
NPI 1023507407
General Practice in Tampa, FL
About Mildred Catherine Conneely Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILDRED CATHERINE CONNEELY ARNP (NPI 1023507407) is an individual general practice provider in Tampa, Florida, licensed in Florida (F02180856) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mildred Catherine Conneely Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mildred Conneely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Toledo, OH 43604
- Reassigned Medicare billing, Florida enrollment
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mildred Conneely's NPI number?
The NPI number for Mildred Conneely is 1023507407. It was assigned to this individual provider in the NPPES registry on May 1, 2018.
Where is Mildred Conneely located?
Mildred Conneely practices at 1701 W Jetton Ave, Tampa, FL 33606. The listed phone number is (813) 786-6364.
What is Mildred Conneely's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Mildred Conneely enrolled in Medicare?
Yes. Mildred Conneely is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mildred Conneely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mildred Conneely reassigns Medicare benefits to Hcr Manorcare Medical Services Of Florida LLC (Toledo, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mildred Conneely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mildred Conneely was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mildred Catherine Conneely, ARNP · NPI 1023507407
General Practice physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since May 1, 2018.
## Identity
- **NPI:** 1023507407 (Entity type: Individual)
- **Enumerated:** May 1, 2018
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** F02180856 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1701 W JETTON AVE, Tampa, FL 33606-3026
- **Phone:** (813) 786-6364
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hcr Manorcare Medical Services Of Florida LLC (NPI 1386750420, Toledo, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1023507407) · Data from the CMS NPPES public registry.