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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE CONNELLY FNP-C
NPI 1083101489
Nurse Practitioner - Family in Ashburn, VA

Active since April 20, 2018
92.61/100
CMS Quality Rating
43137 WINTERGROVE DR, ASHBURN, VA 20147(760) 828-5247 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 30, 2026, Mar 6, 2024, Apr 10, 2023 and 4 more (7 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 Ashburn, Virginia, licensed in Virginia (0024176013) and active in the NPI registry since April 2018. She maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1083101489
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE CONNELLYCredential: FNP-C
Location Address43137 WINTERGROVE DRAshburn, VA 20147-4457
Mailing Address43137 Wintergrove DrAshburn, VA 20147-4457
Phone(760) 828-5247
Sole ProprietorNo
Enumeration DateApril 20, 2018
Last NPPES UpdateSeptember 30, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ 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
43137 WINTERGROVE DR, Ashburn, VA 20147
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Broadfield Blvd Ste 200Houston, TX 77084-5162 · Phone (914) 919-9200 · Fax (833) 913-2393

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

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 43137 Wintergrove Dr, Ashburn, VA 20147. The listed phone number is (760) 828-5247.

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 September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.