HANNAH CONNOLLY PA
NPI 1639905524
Physician Assistant - Medical in Orlando, FL

Active since September 09, 2024PECOS Enrolled
1222 S ORANGE AVE, ORLANDO, FL 32806(321) 841-6444 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 18, 2024, Sep 27, 2024, Sep 9, 2024 (3 updates tracked since 2024).

About Hannah Connolly Pa NPPES

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

HANNAH CONNOLLY PA (NPI 1639905524) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9119338) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639905524
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameHANNAH CONNOLLYCredential: PA
Location Address1222 S ORANGE AVEOrlando, FL 32806-1215
Mailing Address1222 S Orange AveOrlando, FL 32806-1215 · (321) 841-6444 · Fax (407) 650-1307
Sole ProprietorYes
Enumeration DateSeptember 9, 2024
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1639905524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9119338
Also ListedPhysician AssistantTaxonomy 363A00000X
1222 S ORANGE AVE, Orlando, FL 32806

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hannah Connolly Pa 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.

Physician Assistant (Medical)
1222 S ORANGE AVE
ORLANDO, FL 32806
Internal Medicine (Cardiovascular Disease)
1222 S ORANGE AVE
ORLANDO, FL 32806
Internal Medicine (Cardiovascular Disease)
1222 S ORANGE AVE
ORLANDO, FL 32806
Physician Assistant (Surgical)
1222 S ORANGE AVE, 2ND FLOOR
ORLANDO, FL 32806
Pediatrics (Pediatric Cardiology)
1222 S ORANGE AVE
ORLANDO, FL 32806
Neurological Surgery
1222 S ORANGE AVE
ORLANDO, FL 32806
Nurse Practitioner (Adult Health)
1222 S ORANGE AVE
ORLANDO, FL 32806
Orthopaedic Surgery
1222 S ORANGE AVE
ORLANDO, FL 32806

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639905524, enumerated as an "individual" on September 09, 2024.

The provider is located at 1222 S ORANGE AVE ORLANDO, FL 32806 and the phone number is (321) 841-6444.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Ambetter from Superior HealthPlan, Ambetter. Please consult your insurance carrier or call the provider to verify.