1. Home
  2. Directory
  3. Arizona
  4. Tucson
  5. Obstetrics Gynecology
  6. NPI Profile

MRS. MARY OLSEN CONNELLY M.D.
NPI 1114972783
Obstetrics & Gynecology - Maternal & Fetal Medicine in Tucson, AZ

Active since May 23, 2006PECOS Enrolled
5301 E GRANT RD, TUCSON, AZ 85712(520) 795-8188 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Mary Olsen Connelly M.d. NPPES

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

MRS. MARY OLSEN CONNELLY M.D. (NPI 1114972783) is an individual maternal & fetal medicine provider in Tucson, Arizona, licensed in Arizona (68491) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114972783
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameMRS. MARY OLSEN CONNELLYCredential: M.D.
Location Address5301 E GRANT RDTucson, AZ 85712-2805
Mailing Address1810 E Seneca StTucson, AZ 85719-3747 · (520) 318-0027
Phone(520) 795-8188
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateAugust 18, 2021
NPPES CertifiedAugust 18, 2021
✔ NPI 1114972783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in AZ · 68491
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
5301 E GRANT RD, Tucson, AZ 85712
Open in Google Maps ↗

Other Identifiers 1

Medicaid937295AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Olsen Connelly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mary Connelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmc Medical Network
Same address
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HOLLY JEANNE GRAHAM M.D.
Anesthesiology
5301 E GRANT RD, THMEP
TUCSON, AZ 85712
Pima County (520) 324-5095
SAMANTHA PENN PHARMD
Pharmacist
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5122
DR. VICTOR HUGO RUIZ PHARMD
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-2516
SARA PETTEY SANDIFER MD
Student in an Organized Health Care Education/Training Program
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5095
JOSHUA LEE M.D.
Internal Medicine
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5524
VANESSA LYNN PORTOR RN
Registered Nurse (Lactation Consultant)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5730
MRS. KRISTY BELONE FNP-C
Nurse Practitioner (Family)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 324-5461
LORRAINE Y YENTZER AGACNP
Nurse Practitioner (Gerontology)
5301 E GRANT RD
TUCSON, AZ 85712
Pima County (520) 327-5461

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 Mary Connelly's NPI number?

The NPI number for Mary Connelly is 1114972783. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Mary Connelly located?

Mary Connelly practices at 5301 E Grant Rd, Tucson, AZ 85712. The listed phone number is (520) 795-8188.

What is Mary Connelly's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Mary Connelly enrolled in Medicare?

Yes. Mary Connelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mary Connelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Connelly reassigns Medicare benefits to Tmc Medical Network (Tucson, AZ). 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 Mary Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Connelly accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Mary Connelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Connelly was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.