NICOLE JOY MCCONNELL M.D.
NPI 1366837577
Obstetrics & Gynecology in Brandon, FL

Q: What is Nicole Mcconnell's NPI number?

The NPI number for Nicole Mcconnell is 1366837577. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Q: What is Nicole Mcconnell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Mcconnell was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 03, 2015PECOS EnrolledAccepts Medicare Assignment

515 S KINGS AVE STE 3000, BRANDON, FL 33511(813) 681-6625(813) 684-6043 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Nov 1, 2022, Oct 4, 2022 and 3 more (6 updates tracked since 2019).

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About Nicole Joy Mcconnell M.d. NPPES

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

NICOLE JOY MCCONNELL M.D. (NPI 1366837577) is an individual obstetrics & gynecology provider in Brandon, Florida, licensed in Florida (ME141062) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Brandon, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366837577

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameNICOLE JOY MCCONNELLCredential: M.D.

Location Address515 S KINGS AVE STE 3000Brandon, FL 33511-6060

Mailing AddressPo Box 748817Atlanta, GA 30374-8817 · (813) 286-0033 · Fax (813) 282-1806

Phone(813) 681-6625

Fax(813) 684-6043

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 3, 2015

Last NPPES UpdateJune 23, 20236 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1366837577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME141062

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

515 S KINGS AVE STE 3000, Brandon, FL 33511

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Secondary Practice Location 1

Location 1116 Parsons Park DrBrandon, FL 33511-6066 · Phone (813) 681-6625

Other Identifiers 1

OtherLJ768FL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Joy Mcconnell M.d. 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.

PECOS PAC ID2466788625

PECOS Enrollment IDI20190725001067

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 33511 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 18

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

DOROTHY T LEE-EVENSON MD

Obstetrics & Gynecology