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ELIZABETH ANNE CONNELLY M.D.
NPI 1306424841
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since March 29, 2021PECOS Enrolled
MSC10 5580, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5580(505) 272-6385 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Anne Connelly M.d. NPPES

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

ELIZABETH ANNE CONNELLY M.D. (NPI 1306424841) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2025-0275) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1306424841
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH ANNE CONNELLYCredential: M.D.
Location AddressMSC10 5580, 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-0001
Mailing AddressMsc10 5580, 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-5580 · Fax (505) 272-6385
Phone(505) 272-5580
Fax(505) 272-6385
Sole ProprietorNo
Enumeration DateMarch 29, 2021
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1306424841 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 NM · RS2025-0275
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.
MSC10 5580, 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131
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Secondary Practice Location 1

Location 12425 Geary BlvdSan Francisco, CA 94115-3358 · Phone (415) 833-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Anne Connelly M.d. 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 2

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

DR. GABRIELLE LAUREN TAPER MD
Student in an Organized Health Care Education/Training Program
MSC10 5580, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (502) 272-4814
BRITTANY MONTESINO MD
Student in an Organized Health Care Education/Training Program
MSC10 5580, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5580

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 Elizabeth Connelly's NPI number?

The NPI number for Elizabeth Connelly is 1306424841. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Elizabeth Connelly located?

Elizabeth Connelly practices at Msc10 5580, 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-5580.

What is Elizabeth Connelly's specialty?

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

Is Elizabeth Connelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Elizabeth Connelly was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.