MR. MICHAEL CHARLES CONNELL P.A.
NPI 1568645083
Physician Assistant in Glens Falls, NY

Q: What is Michael Connell's NPI number?

The NPI number for Michael Connell is 1568645083. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Q: What is Michael Connell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Connell was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 06, 2007PECOS Enrolled

3 IRONGATE CTR, GLENS FALLS, NY 12801(518) 793-4409(518) 615-0140 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, May 15, 2018 (2 updates tracked since 2018).

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About Mr. Michael Charles Connell P.a. NPPES

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

MR. MICHAEL CHARLES CONNELL P.A. (NPI 1568645083) is an individual physician assistant in Glens Falls, New York, licensed in New York (002970) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568645083

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. MICHAEL CHARLES CONNELLCredential: P.A.

Location Address3 IRONGATE CTRGlens Falls, NY 12801-3471

Mailing Address19 West Ave Ste 103Saratoga Springs, NY 12866-6052 · (518) 583-0111 · Fax (518) 583-2426

Phone(518) 793-4409

Fax(518) 615-0140

Sole ProprietorNo

Enumeration DateDecember 6, 2007

Last NPPES UpdateJune 16, 20182 updates tracked since enumeration

✔ NPI 1568645083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 002970

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3 IRONGATE CTR, Glens Falls, NY 12801

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Other Identifiers 1

Other002970NY · Nys License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael Charles Connell P.a. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 17

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

MRS. CARLIE DICE ADAMS PA-C

Physician Assistant (Medical)