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CHANNON CONNER APRN
NPI 1902576739
Nurse Practitioner - Pediatrics in New Haven, CT

Active since September 14, 2021PECOS Enrolled
428 COLUMBUS AVE, NEW HAVEN, CT 06519(203) 503-3000 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Channon Conner Aprn NPPES

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

CHANNON CONNER APRN (NPI 1902576739) is an individual pediatrics provider in New Haven, Connecticut, licensed in Connecticut (9919) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902576739
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCHANNON CONNERCredential: APRN
Location Address428 COLUMBUS AVENew Haven, CT 06519-1233
Mailing Address86 Tanglewood CirMilford, CT 06461-1663 · (919) 724-7221
Phone(203) 503-3000
Sole ProprietorNo
Enumeration DateSeptember 14, 2021
NPPES CertifiedSeptember 14, 2021
✔ NPI 1902576739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CT · 9919
428 COLUMBUS AVE, New Haven, CT 06519
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Channon Conner Aprn 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 Reassignment

Medicare enrollment records show Channon Conner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornell Scott Hill Health Corporation
Same address
Federally Qualified Health Center (FQHC)
400-428 COLUMBUS AVENUE
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1902921380 (203) 503-3000

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 06519 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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 20

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

ARTI BARNES MD, MBBS, MPH
Internal Medicine (Infectious Disease)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
MRS. ROCCA L PERRUCCIO FNP
Nurse Practitioner (Family)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
OLUREMI ALIYU
Internal Medicine
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
MRS. PAMELA ANN RULE FNP-BC
Nurse Practitioner (Family)
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3250
HANNAH ROSE RICHELIEU PA-C
Physician Assistant
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
CHAPMAN ELIZABETH DEATON DMD
Dentist
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3000
TUSHEMIA ROBERTS RN
Registered Nurse
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3284
DR. ALICIA EMENY INGALLS PITTARD M.D.
Pediatrics
428 COLUMBUS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 503-3030

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 Channon Conner's NPI number?

The NPI number for Channon Conner is 1902576739. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Channon Conner located?

Channon Conner practices at 428 Columbus Ave, New Haven, CT 06519. The listed phone number is (203) 503-3000.

What is Channon Conner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Channon Conner enrolled in Medicare?

Yes. Channon Conner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Channon Conner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Channon Conner reassigns Medicare benefits to Cornell Scott Hill Health Corporation (New Haven, CT). 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 Channon Conner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Channon Conner was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.