DR. REBECCA CONNELLY OD
NPI 1467079137
Optometrist in Fort Collins, CO
About Dr. Rebecca Connelly Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REBECCA CONNELLY OD (NPI 1467079137) is an individual optometrist in Fort Collins, Colorado, licensed in Colorado (0003595) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Homer Glen, and is a graduate of University Of Missouri St Louis - School Of Optometry (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Dr. Rebecca Connelly 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 Rebecca Connelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orland Park, IL 60467
- Reassigned Medicare billing, Illinois 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 80526 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Rebecca Connelly's NPI number?
The NPI number for Rebecca Connelly is 1467079137. It was assigned to this individual provider in the NPPES registry on June 29, 2020.
Where is Rebecca Connelly located?
Rebecca Connelly practices at 3501 S Shields St, Fort Collins, CO 80526. The listed phone number is (970) 490-2020.
What is Rebecca Connelly's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Rebecca Connelly enrolled in Medicare?
Yes. Rebecca Connelly 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 Rebecca Connelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rebecca Connelly reassigns Medicare benefits to Carr Eye Professionals PC (Orland Park, IL). 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 Rebecca Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Rebecca Connelly was last updated on January 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Rebecca Connelly, OD · NPI 1467079137
Optometrist provider in Fort Collins, Colorado. Individual provider, active in the CMS NPPES registry since June 29, 2020.
## Identity
- **NPI:** 1467079137 (Entity type: Individual)
- **Enumerated:** June 29, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0003595 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 S SHIELDS ST, Fort Collins, CO 80526-2583
- **Phone:** (970) 490-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Carr Eye Professionals PC (NPI 1407978687, Orland Park, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri St Louis - School Of Optometry, class of 2020
## Record status
- **NPPES last updated:** January 29, 2021
- **Other identifiers:** Other 0003595 (CO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1467079137) · Data from the CMS NPPES public registry.