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MARIEL CONNOLLY
NPI 1376248294
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 31, 2023PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-3452 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2024, May 3, 2023, Mar 31, 2023 (3 updates tracked since 2023).

About Mariel Connolly NPPES

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

MARIEL CONNOLLY (NPI 1376248294) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376248294
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIEL CONNOLLY
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-3452
Phone(508) 334-3452
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateJanuary 4, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1376248294 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
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.
55 LAKE AVE N, Worcester, MA 01655
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mariel Connolly 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.

HILLARY R. IRONS MD
Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 421-1400
MS. EILEEN A. DUHAMEL NP
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-2710
EWA HRYNISZYN CRNA
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
HELEN COPSEY PA-C
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-8585
DR. ADEPEJU GBADEBO CHAMPION M.D.
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-2731
SOWMYA KORAPATI
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-3550
LAYLA FAKHRZADEH M.D.
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Worcester County (508) 334-3271
YOONYIE CHO M.D.
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655
Worcester County (508) 334-1000

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 Mariel Connolly's NPI number?

The NPI number for Mariel Connolly is 1376248294. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Where is Mariel Connolly located?

Mariel Connolly practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-3452.

What is Mariel Connolly's specialty?

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

Is Mariel Connolly enrolled in Medicare?

Yes. Mariel Connolly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariel Connolly was last updated on January 4, 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.