CONNELLEY FAMILY MEDICAL, PLLC
NPI 1659841955
Family Medicine in Monticello, AR
About Connelley Family Medical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNELLEY FAMILY MEDICAL, PLLC (NPI 1659841955), doing business as Connelley Family Medical, is a healthcare organization registered as a family medicine in Monticello, Arkansas and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Karen Connelley, Startup Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Connelley Family Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Connelley Family Medical, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D2162005
Connelley Family Medical, PLLC · Monticello, ARFrequently 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 Connelley Family Medical, PLLC's NPI number?
The NPI number for Connelley Family Medical, PLLC is 1659841955. It was assigned to this organization in the NPPES registry on November 29, 2018. The provider is doing business as Connelley Family Medical.
Where is Connelley Family Medical, PLLC located?
Connelley Family Medical, PLLC is located at 777 Jordan Dr, Monticello, AR 71655. The listed phone number is (870) 723-4921.
What is Connelley Family Medical, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Connelley Family Medical, PLLC enrolled in Medicare?
Yes. Connelley Family Medical, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Connelley Family Medical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Connelley Family Medical, PLLC. A 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 the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Connelley Family Medical, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2162005) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Connelley Family Medical, PLLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Connelley Family Medical, PLLC 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 Connelley Family Medical, PLLC was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Connelley Family Medical, Pllc · NPI 1659841955
Family Medicine organization in Monticello, Arkansas. Organization record, active in the CMS NPPES registry since November 29, 2018.
## Identity
- **NPI:** 1659841955 (Entity type: Organization)
- **Enumerated:** November 29, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Connelley Family Medical (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Karen Connelley, STARTUP COORDINATOR
## Practice location
- **Address:** 777 JORDAN DR, Monticello, AR 71655-5719
- **Phone:** (870) 723-4921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 29, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659841955) · Data from the CMS NPPES public registry.