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NICOLE CONNELLY FNP-C
NPI 1083101489
Nurse Practitioner - Family in Columbus, OH

Active since April 20, 2018
92.61/100
CMS Quality Rating
4200 REGENT ST STE 200, COLUMBUS, OH 43219(877) 870-1775(614) 968-8840 Get Directions Write a Review

NPPES record last updated: March 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Apr 10, 2023, Feb 1, 2023 and 3 more (6 updates tracked since 2018).

About Nicole Connelly Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE CONNELLY FNP-C (NPI 1083101489) is an individual family provider in Columbus, Ohio, licensed in Virginia (0024176013) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1083101489
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE CONNELLYCredential: FNP-C
Location Address4200 REGENT ST STE 200Columbus, OH 43219-6229
Mailing Address43137 Wintergrove DrAshburn, VA 20147-4457
Phone(877) 870-1775
Fax(614) 968-8840
Sole ProprietorNo
Enumeration DateApril 20, 2018
Last NPPES UpdateMarch 31, 20246 updates tracked since enumeration
NPPES CertifiedMarch 31, 2024
✔ NPI 1083101489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024176013
4200 REGENT ST STE 200, Columbus, OH 43219
Open in Google Maps ↗

Other Identifiers 2

Medicaid30015380170003VA
Medicaid1457344962VA

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER NICKENS FNP-C
Nurse Practitioner (Family)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (248) 780-0050
DANNI LYNNETTE HENDERSON AGNP-C
Nurse Practitioner (Adult Health)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (877) 870-1775
DARIO PETKOVIC PT
Physical Therapist
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (866) 839-6979
CONNIE THACH DNP, FNP-BC
Nurse Practitioner
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (877) 581-2210
KATELYN ELAINE DYE APRN
Nurse Practitioner (Primary Care)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (843) 709-0739
VALERIE CLARK FNP
Nurse Practitioner (Family)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (877) 581-2210
JENNIFER M. KUCK
Dietitian, Registered
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (614) 944-5123
LATASHA ROSHELLE EVANS FNP
Nurse Practitioner (Family)
4200 REGENT ST STE 200
COLUMBUS, OH 43219
Franklin County (877) 870-1775

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 Nicole Connelly's NPI number?

The NPI number for Nicole Connelly is 1083101489. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Nicole Connelly located?

Nicole Connelly practices at 4200 Regent St Ste 200, Columbus, OH 43219. The listed phone number is (877) 870-1775.

What is Nicole Connelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Nicole Connelly was last updated on March 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.