NICOLE MCCONNELL OD
NPI 1285421297
Optometrist in Goodyear, AZ
About Nicole Mcconnell Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MCCONNELL OD (NPI 1285421297) is an individual optometrist in Goodyear, Arizona, licensed in Arizona (OPT-002943) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Nicole Mcconnell Od 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Mcconnell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nellis Afb, NV 89191
- Reassigned Medicare billing, Arizona enrollment
- 4 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 85338 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Nicole Mcconnell's NPI number?
The NPI number for Nicole Mcconnell is 1285421297. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Nicole Mcconnell located?
Nicole Mcconnell practices at 16918 W Beth Dr, Goodyear, AZ 85338. The listed phone number is (623) 606-1510.
What is Nicole Mcconnell's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Nicole Mcconnell enrolled in Medicare?
Yes. Nicole Mcconnell 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.
Which organization bills Medicare for Nicole Mcconnell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mcconnell reassigns Medicare benefits to Elevated Eyecare LLC (Nellis Afb, NV). The 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 Nicole Mcconnell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Mcconnell 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 and Oscar Health Plan, Inc. list Nicole Mcconnell 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 Nicole Mcconnell was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Nicole Mcconnell, OD · NPI 1285421297
Optometrist provider in Goodyear, Arizona. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1285421297 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT-002943 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 16918 W BETH DR, Goodyear, AZ 85338-4740
- **Phone:** (623) 606-1510
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Elevated Eyecare LLC (NPI 1427704774, Nellis Afb, NV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285421297) · Data from the CMS NPPES public registry.