MRS. BRENDA LEE CONNOLLY ARNP
NPI 1790003689
Nurse Practitioner - Family in Saint Petersburg, FL
About Mrs. Brenda Lee Connolly Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRENDA LEE CONNOLLY ARNP (NPI 1790003689) is an individual family provider in Saint Petersburg, Florida, licensed in Florida (ARNP 3359922) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
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
Mrs. Brenda Lee Connolly Arnp 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 Brenda Connolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockville, MD 20854
- Reassigned Medicare billing, Florida enrollment
- 517 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
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 Brenda Connolly's NPI number?
The NPI number for Brenda Connolly is 1790003689. It was assigned to this individual provider in the NPPES registry on May 17, 2010. The provider is also known as Mrs. Brenda Lee Neel Aprn.
Where is Brenda Connolly located?
Brenda Connolly practices at 3501 54th Ave S, Saint Petersburg, FL 33711. The listed phone number is (866) 389-2727.
What is Brenda Connolly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Brenda Connolly enrolled in Medicare?
Yes. Brenda Connolly 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 Brenda Connolly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Connolly reassigns Medicare benefits to Minuteclinic LLC (Rockville, MD). 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 Brenda Connolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brenda Connolly accept?
Health plans from CareSource list Brenda Connolly 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 Brenda Connolly was last updated on December 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Mrs. Brenda Lee Connolly, ARNP · NPI 1790003689
Family physician in Saint Petersburg, Florida. Individual provider, active in the CMS NPPES registry since May 17, 2010.
## Identity
- **NPI:** 1790003689 (Entity type: Individual)
- **Enumerated:** May 17, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP 3359922 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 3501 54TH AVE S, Saint Petersburg, FL 33711-4541
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Minuteclinic LLC (NPI 1134191836, Rockville, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** December 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790003689) · Data from the CMS NPPES public registry.