CONNI NEVILLS CRNP
NPI 1255730131
Nurse Practitioner - Pediatrics in Takoma Park, MD
About Conni Nevills Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNI NEVILLS CRNP (NPI 1255730131) is an individual pediatrics provider in Takoma Park, Maryland, licensed in Maryland (R193200) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Conni Nevills Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Conni Nevills reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Frederick, MD 21701
- Reassigned Medicare billing, Maryland enrollment
- 270 clinicians in this Medicare group
Frederick, MD 21701
- Reassigned Medicare billing, Maryland enrollment
- 91 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 20912 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.
TAKOMA PARK, MD 20912
TAKOMA PARK, MD 20912
TAKOMA PARK, MD 20912
TAKOMA PARK, MD 20912
TAKOMA PARK, MD 20912
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 Conni Nevills's NPI number?
The NPI number for Conni Nevills is 1255730131. It was assigned to this individual provider in the NPPES registry on August 18, 2014.
Where is Conni Nevills located?
Conni Nevills practices at 7610 Carroll Ave Suite 400, Takoma Park, MD 20912. The listed phone number is (301) 891-6841.
What is Conni Nevills's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Conni Nevills enrolled in Medicare?
Yes. Conni Nevills is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Conni Nevills's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Conni Nevills reassigns Medicare benefits to 2 organizations: Hospitalist Medicine Physicians Of Maryland PC (Frederick, MD) and Hospitalist Medicine Physicians Of Maryland-Frederick PC (Frederick, MD). 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 Conni Nevills'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 Conni Nevills was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Conni Nevills, CRNP · NPI 1255730131
Pediatrics physician in Takoma Park, Maryland. Individual provider, active in the CMS NPPES registry since August 18, 2014.
## Identity
- **NPI:** 1255730131 (Entity type: Individual)
- **Enumerated:** August 18, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R193200 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 7610 CARROLL AVE, SUITE 400, Takoma Park, MD 20912-6384
- **Phone:** (301) 891-6841
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of Maryland PC (NPI 1992945471, Frederick, MD); Hospitalist Medicine Physicians Of Maryland-Frederick PC (NPI 1093322257, Frederick, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1255730131) · Data from the CMS NPPES public registry.