DANA JEAN CONNOLLY NP
NPI 1164070736
Nurse Practitioner in Stanford, CA
About Dana Jean Connolly Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANA JEAN CONNOLLY NP (NPI 1164070736) is an individual nurse practitioner in Stanford, California, licensed in California (95012570) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dana Jean Connolly Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Dana Connolly reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stanford, CA 94305
- Reassigned Medicare billing, California enrollment
- 4,258 clinicians in this Medicare group
Palo Alto, CA 94304
- Reassigned Medicare billing, California enrollment
- 3,617 clinicians in this Medicare group
Los Angeles, CA 90027
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
- 1,281 clinicians in this Medicare group
Los Angeles, CA 90007
- Reassigned Medicare billing, California enrollment
- 26 clinicians in this Medicare group
Los Angeles, CA 90007
- Reassigned Medicare billing, California enrollment
- 29 clinicians in this Medicare group
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 94305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
STANFORD, CA 94305
STANFORD, CA 94305
STANFORD, CA 94305
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 Dana Connolly's NPI number?
The NPI number for Dana Connolly is 1164070736. It was assigned to this individual provider in the NPPES registry on August 27, 2019.
Where is Dana Connolly located?
Dana Connolly practices at 300 Pasteur Dr, Stanford, CA 94305. The listed phone number is (650) 723-4000.
What is Dana Connolly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Dana Connolly enrolled in Medicare?
Yes. Dana Connolly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Dana Connolly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dana Connolly reassigns Medicare benefits to 5 organizations: Stanford Health Care (Stanford, CA), Lpch Medical Group Div Of Lucile (Palo Alto, CA), Children's Hospital Los Angeles Medical Group, Inc. (Los Angeles, CA), Orthopaedic Hospital (Los Angeles, CA) and Orthopaedic Hospital Medical Group Inc (Los Angeles, CA). Each 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 Dana Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Dana Connolly was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dana Jean Connolly, NP · NPI 1164070736
Nurse Practitioner physician in Stanford, California. Individual provider, active in the CMS NPPES registry since August 27, 2019.
## Identity
- **NPI:** 1164070736 (Entity type: Individual)
- **Enumerated:** August 27, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95012570 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 PASTEUR DR, Stanford, CA 94305-2200
- **Phone:** (650) 723-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Stanford Health Care (NPI 1437292927, Stanford, CA); Lpch Medical Group Div Of Lucile (NPI 1417907940, Palo Alto, CA); Children's Hospital Los Angeles Medical Group, Inc. (NPI 1265530653, Los Angeles, CA); Orthopaedic Hospital (NPI 1689632374, Los Angeles, CA); Orthopaedic Hospital Medical Group Inc (NPI 1942300918, Los Angeles, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164070736) · Data from the CMS NPPES public registry.