EMMA M CONNELLY MD
NPI 1255071585
Student in an Organized Health Care Education/Training Program in Bangor, ME

Q: What is Emma Connelly's NPI number?

The NPI number for Emma Connelly is 1255071585. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Emma Connelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emma Connelly was last updated on June 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 01, 2022PECOS Enrolled

895 UNION ST STE 12, BANGOR, ME 04401(207) 973-7979 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2024, Aug 16, 2022 (2 updates tracked since 2022).

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About Emma M Connelly Md NPPES

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

EMMA M CONNELLY MD (NPI 1255071585) is an individual student in an organized health care education/training program in Bangor, Maine, licensed in Maine (1255071585) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1255071585

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameEMMA M CONNELLYCredential: MD

Location Address895 UNION ST STE 12Bangor, ME 04401-3054

Mailing Address895 Union St Ste 12Bangor, ME 04401-3054 · (207) 973-7973 · Fax (207) 973-7684

Phone(207) 973-7979

Sole ProprietorNo

Enumeration DateApril 1, 2022

Last NPPES UpdateJune 22, 20242 updates tracked since enumeration

NPPES CertifiedJune 22, 2024

✔ NPI 1255071585 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

License✔ Licensed in ME · 1255071585

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.

895 UNION ST STE 12, Bangor, ME 04401

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Secondary Practice Location 1

Location 1Msc09 5040 1 University Of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-8291 · Fax (505) 272-1348

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma M Connelly Md 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 20

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

HEATH MYERS LCSW

Social Worker (Clinical)