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KRISTEN CONNOLLY
NPI 1427782903
Nurse Practitioner - Family in State College, PA

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
905 UNIVERSITY DR, STATE COLLEGE, PA 16801(814) 238-8418(814) 234-2888 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kristen Connolly NPPES

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

KRISTEN CONNOLLY (NPI 1427782903) is an individual family provider in State College, Pennsylvania, licensed in Pennsylvania (SP025894) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Huntingdon, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1427782903
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN CONNOLLY
Location Address905 UNIVERSITY DRState College, PA 16801-6626
Mailing Address905 University DrState College, PA 16801-6626
Phone(814) 238-8418
Fax(814) 234-2888
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 12, 2022
NPPES CertifiedJuly 12, 2022
✔ NPI 1427782903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP025894
905 UNIVERSITY DR, State College, PA 16801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Kristen Connolly 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 ID6002297876
PECOS Enrollment IDI20220726000699
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
137 services98 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
120 services84 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
94 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
23 services11 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Penn Highlands Huntingdon

Acute Care Hospitals · Huntingdon, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390056
Location1225 Warm Springs AveHuntingdon, PA 16652 · Huntingdon County
Emergency services

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16801 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Other Providers at the Same Location NPPES 19

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

MELISSA ANN WALLACE CRNP
Nurse Practitioner (Family)
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
GUILLARD INTERNAL MEDICINE INC.
Internal Medicine
905 UNIVERSITY DR, SUITE 1
STATE COLLEGE, PA 16801
Centre County (814) 237-3122
ERIN MARIE GABANY FNP-C
Nurse Practitioner (Family)
905 UNIVERSITY DR, STE 2
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
DR. DANIEL R PITTS MD
Urology
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
LAUREN B DAVIDSON CRNP
Nurse Practitioner (Family)
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
ALLISON M GUILLARD CRNP
Nurse Practitioner (Adult Health)
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
SCOTT GEIGER MD
Urology
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418
STEPHEN HARRY PHILLIPS II D.O.
Urology
905 UNIVERSITY DR
STATE COLLEGE, PA 16801
Centre County (814) 238-8418

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 Kristen Connolly's NPI number?

The NPI number for Kristen Connolly is 1427782903. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Kristen Connolly located?

Kristen Connolly practices at 905 University Dr, State College, PA 16801. The listed phone number is (814) 238-8418.

What is Kristen Connolly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristen Connolly enrolled in Medicare?

Yes. Kristen Connolly 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.

What insurance does Kristen Connolly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kristen Connolly 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.

Is Kristen Connolly affiliated with any hospitals?

According to CMS data, Kristen Connolly is affiliated with Penn Highlands Huntingdon, Penn Highlands Dubois and Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Kristen Connolly was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.