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ASHLEY NICOLE CONNOLLY
NPI 1144003120
Student in an Organized Health Care Education/Training Program in Winston Salem, NC

Active since August 15, 2023PECOS EnrolledAccepts Medicare Assignment
525 VINE ST STE 230, WINSTON SALEM, NC 27101(336) 716-1441 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ashley Nicole Connolly NPPES

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

ASHLEY NICOLE CONNOLLY (NPI 1144003120) is an individual student in an organized health care education/training program in Winston Salem, North Carolina and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Wake Forest University School Of Medicine (2025).

NPPES Registry Identity

NPI1144003120
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameASHLEY NICOLE CONNOLLY
Location Address525 VINE ST STE 230Winston Salem, NC 27101-4158
Mailing Address525 Vine St Ste 230Winston Salem, NC 27101-4158 · (336) 716-1441
Phone(336) 716-1441
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2025
Enumeration DateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1144003120 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.
525 VINE ST STE 230, Winston Salem, NC 27101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashley Nicole Connolly is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133617863
PECOS Enrollment IDI20251023002458
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 Ashley Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mass General Brigham Medical Group, Inc.
666 mi
Internal Medicine
30 TUSCAN BOULEVARD
Salem, NH 03079
  • Reassigned Medicare billing, Massachusetts enrollment
  • 181 clinicians in this Medicare group
NPI 1083360200 (857) 282-7014

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 15

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

ABBY HANSON
Student in an Organized Health Care Education/Training Program
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
TESS ALENE TIDWELL
Student in an Organized Health Care Education/Training Program
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
TRAYCE CALICOTT WILK
Nurse Anesthetist, Certified Registered
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
MEGAN COX-GARCIA
Nurse Anesthetist, Certified Registered
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
CORINNE NATICA LELIA HAUCK CRNA
Nurse Anesthetist, Certified Registered
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
KAYLIN BAREFOOT BSN, RN
Student in an Organized Health Care Education/Training Program
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
JULIA MARTIN STRAWN CRNA
Nurse Anesthetist, Certified Registered
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411
MARY RENDER
Student in an Organized Health Care Education/Training Program
525 VINE ST STE 230
WINSTON SALEM, NC 27101
Forsyth County (336) 716-1411

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 Ashley Connolly's NPI number?

The NPI number for Ashley Connolly is 1144003120. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Ashley Connolly located?

Ashley Connolly practices at 525 Vine St Ste 230, Winston Salem, NC 27101. The listed phone number is (336) 716-1441.

What is Ashley Connolly's specialty?

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

Is Ashley Connolly enrolled in Medicare?

Yes. Ashley Connolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ashley Connolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Connolly reassigns Medicare benefits to Mass General Brigham Medical Group, Inc. (Salem, NH). 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 Ashley Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ashley Connolly affiliated with any hospitals?

According to CMS data, Ashley Connolly is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Ashley Connolly was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.