1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MARY CATHERINE CONNELL
NPI 1124965959
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Active since April 30, 2026PECOS Enrolled
1000 BLYTHE BLVD., 4TH FLOOR, MEB, CHARLOTTE, NC 28203(704) 381-6800 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2026, May 1, 2026 (2 updates tracked since 2026).

About Mary Catherine Connell NPPES

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

MARY CATHERINE CONNELL (NPI 1124965959) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124965959
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARY CATHERINE CONNELL
Location Address1000 BLYTHE BLVD., 4TH FLOOR, MEBCharlotte, NC 28203-5812
Mailing Address1000 Blythe Blvd., 4th Floor, MebCharlotte, NC 28203-5812 · (704) 381-6800
Phone(704) 381-6800
Sole ProprietorNo
Enumeration DateApril 30, 2026
Last NPPES UpdateMay 4, 20262 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1124965959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 BLYTHE BLVD., Charlotte, NC 28203
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Catherine Connell 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.

Other Providers at the Same Location NPPES 6

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

BRIAN ZACHARY HEDGES M.D.
Emergency Medicine
1000 BLYTHE BLVD., CMC/DEPARTMENT OF EMERGENCY MEDICINE
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3181
DR. JOSEPH PATRICK COSTELLO II MD
Student in an Organized Health Care Education/Training Program
1000 BLYTHE BLVD., MEB-SUITE 157 - ATTN: INSTITUTIONAL COORDINATOR
CHARLOTTE, NC 28203
Mecklenburg County (605) 610-7904
DR. EILEEN BETH HITCHO M.D.
Emergency Medicine
1000 BLYTHE BLVD., MEB 3
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
DR. MARIA FRANCES GLENN M.D.
Emergency Medicine
1000 BLYTHE BLVD., MEB3
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-3658
MELISSA A PRESLEY NP
Nurse Practitioner (Family)
1000 BLYTHE BLVD.
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-0720
CHRISTINE MARGARET DETWILER CRNA
Nurse Anesthetist, Certified Registered
1000 BLYTHE BLVD., CAROLINAS MEDICAL CENTER
CHARLOTTE, NC 28203
Mecklenburg County (704) 355-2000

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 Connell's NPI number?

The NPI number for Mary Connell is 1124965959. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Mary Connell located?

Mary Connell practices at 1000 Blythe Blvd. 4th Floor, Meb, Charlotte, NC 28203. The listed phone number is (704) 381-6800.

What is Mary Connell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mary Connell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mary Connell was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.