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JORDAN CONNELLY
NPI 1245832328
Nurse Practitioner - Family in Mount Pleasant, SC

Active since November 12, 2020PECOS Enrolled
70.05/100
CMS Quality Rating
631 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464(843) 881-0815 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2021, Nov 12, 2020 (2 updates tracked since 2020).

About Jordan Connelly NPPES

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

JORDAN CONNELLY (NPI 1245832328) is an individual family provider in Mount Pleasant, South Carolina, licensed in South Carolina (25228) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lakewood.

NPPES Registry Identity

NPI1245832328
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJORDAN CONNELLY
Location Address631 JOHNNIE DODDS BLVDMount Pleasant, SC 29464-3030
Mailing Address1510 Privateer DrMount Pleasant, SC 29464-4923 · (919) 280-0229
Phone(843) 881-0815
Sole ProprietorNo
Enumeration DateNovember 12, 2020
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1245832328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in SC · 25228✔ Licensed in CO · APN.0995884-NP
631 JOHNNIE DODDS BLVD, Mount Pleasant, SC 29464
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Secondary Practice Location 1

Location 112105 W Alameda Pkwy Ste 100Lakewood, CO 80228-2832 · Phone (720) 613-6050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Connelly 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29464 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.22
Promoting Interoperability98
Improvement Activities40
Cost53.62

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.

MADISON BAKER PA
Physician Assistant
631 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC 29464
Charleston County (843) 881-0815
CHRISTINE NOEL LYLES PA
Physician Assistant
631 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC 29464
Charleston County (843) 881-0815
TIKVA Y. HABIB MD
Family Medicine
631 JOHNNIE DODDS BLVD
MT. PLEASANT, SC 29464
Charleston County (843) 881-0815
KATHRYN VEAZEY MD
Emergency Medicine
631 JOHNNIE DODDS BLVD
MT PLEASANT, SC 29464
Charleston County (843) 881-0815
ASHLEY MATKINS PA-C
Physician Assistant
631 JOHNNIE DODDS BLVD
MT PLEASANT, SC 29464
Charleston County (834) 881-0815
MR. JUSTIN ARTHUR HOVICK MMS, PA-C
Physician Assistant
631 JOHNNIE DODDS BLVD
MOUNT PLEASANT, SC 29464
Charleston County (843) 881-0815
COURTNEY JOSEPHINE WALSH PA
Physician Assistant
631 JOHNNIE DODDS BLVD
MT PLEASANT, SC 29464
Charleston County (843) 881-0815
MICHAEL S GOLDBERG MPT
Physical Therapist
631 JOHNNIE DODDS BLVD
MT PLEASANT, SC 29464
Charleston County (843) 849-6889

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 Jordan Connelly's NPI number?

The NPI number for Jordan Connelly is 1245832328. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Jordan Connelly located?

Jordan Connelly practices at 631 Johnnie Dodds Blvd, Mount Pleasant, SC 29464. The listed phone number is (843) 881-0815.

What is Jordan Connelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jordan Connelly enrolled in Medicare?

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

What insurance does Jordan Connelly accept?

Health plans from Blue Cross and Blue Shield of Texas list Jordan 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 Jordan Connelly was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.