DR. KATIE SHULIST CONNOLLY O.D.
NPI 1164837506
Optometrist in Bloomington, IN
About Dr. Katie Shulist Connolly O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATIE SHULIST CONNOLLY O.D. (NPI 1164837506) is an individual optometrist in Bloomington, Indiana, licensed in Indiana (18003844A) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2014).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Katie Shulist Connolly O.d. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47405 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.
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 Katie Connolly's NPI number?
The NPI number for Katie Connolly is 1164837506. It was assigned to this individual provider in the NPPES registry on June 24, 2014.
Where is Katie Connolly located?
Katie Connolly practices at 744 E 3rd St, Bloomington, IN 47405. The listed phone number is (812) 855-8436.
What is Katie Connolly's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Katie Connolly enrolled in Medicare?
Yes. Katie 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.
What insurance does Katie Connolly accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CareSource and Providence Health Plan list Katie Connolly 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 Katie Connolly was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Katie Shulist Connolly, O.D. · NPI 1164837506
Optometrist provider in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since June 24, 2014.
## Identity
- **NPI:** 1164837506 (Entity type: Individual)
- **Enumerated:** June 24, 2014
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 18003844A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 744 E 3RD ST, Bloomington, IN 47405-3603
- **Phone:** (812) 855-8436
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Ferris State College - College Of Optometry, class of 2014
## Record status
- **NPPES last updated:** January 12, 2026
- **Other identifiers:** Medicaid 201240730 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1164837506) · Data from the CMS NPPES public registry.