MR. PATRICK WELLINGTON CONNELLY MD
NPI 1619965548
Obstetrics & Gynecology in Show Low, AZ

Active since October 13, 2005PECOS Enrolled
5300 S SUTTER DR, SUITE 11, SHOW LOW, AZ 85901(928) 537-9844(928) 537-4437 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Patrick Wellington Connelly Md NPPES

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

MR. PATRICK WELLINGTON CONNELLY MD (NPI 1619965548) is an individual obstetrics & gynecology provider in Show Low, Arizona, licensed in Arizona (34632) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619965548
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. PATRICK WELLINGTON CONNELLYCredential: MD
Location Address5300 S SUTTER DR, SUITE 11Show Low, AZ 85901-8050
Mailing Address5300 S Sutter Dr, Suite 11Show Low, AZ 85901-8050 · (928) 537-9844 · Fax (928) 537-4437
Fax(928) 537-4437
Sole ProprietorYes
Enumeration DateOctober 13, 2005
Last NPPES UpdateAugust 25, 2016
✔ NPI 1619965548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 34632
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.
5300 S SUTTER DR, Show Low, AZ 85901

Other Names 1

Professional Name (2)Mr. Patrick Wellington Connelly Md

Other Identifiers 1

Other1255429353AZ · Group Npi

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Patrick Wellington Connelly Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Patrick Connelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
4951 S WHITE MOUNTAIN RD BLDG A
Show Low, AZ 85901
  • Reassigned Medicare billing, Arizona enrollment
  • 99 clinicians in this Medicare group
Specialist
1739 E BEVERLY AVE
Kingman, AZ 86409
  • Reassigned Medicare billing, Arizona enrollment
  • 418 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 85901 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 2

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

Specialist
5300 S SUTTER DR, STE 11
SHOW LOW, AZ 85901
Internal Medicine (Pulmonary Disease)
5300 S SUTTER DR, STE 1
SHOW LOW, AZ 85901

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 Patrick Connelly's NPI number?

The NPI number for Patrick Connelly is 1619965548. It was assigned to this individual provider in the NPPES registry on October 13, 2005. The provider is also known as Mr. Patrick Wellington Connelly MD.

Where is Patrick Connelly located?

Patrick Connelly practices at 5300 S Sutter Dr Suite 11, Show Low, AZ 85901. The listed phone number is (928) 537-9844.

What is Patrick Connelly's specialty?

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

Is Patrick Connelly enrolled in Medicare?

Yes. Patrick Connelly is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patrick Connelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Connelly reassigns Medicare benefits to 2 organizations: Summit Healthcare Medical Associates (Show Low, AZ) and Kingman Healthcare, Inc (Kingman, AZ). Each 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 Patrick Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Connelly accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Patrick Connelly 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.

When was this NPI record last updated?

The NPPES record for Patrick Connelly was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.