MS. KAITLIN CONNELLY PA-C
NPI 1952646747
Physician Assistant - Medical in Vineland, NJ

Q: What is Kaitlin Connelly's NPI number?

The NPI number for Kaitlin Connelly is 1952646747. It was assigned to this individual provider in the NPPES registry on December 5, 2012.

Q: What is Kaitlin Connelly's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Connelly was last updated on October 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 05, 2012PECOS EnrolledAccepts Medicare Assignment

54.84/100

CMS Quality Rating

352 S DELSEA DR UNIT C, VINELAND, NJ 08360(856) 690-1616(856) 896-6107 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Kaitlin Connelly Pa-c NPPES

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

MS. KAITLIN CONNELLY PA-C (NPI 1952646747) is an individual medical provider in Vineland, New Jersey, licensed in New Jersey (25MP00298300) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1952646747

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMS. KAITLIN CONNELLYCredential: PA-C

Location Address352 S DELSEA DR UNIT CVineland, NJ 08360-5308

Mailing Address352 S Delsea Dr Unit CVineland, NJ 08360-5308 · (856) 690-1616 · Fax (856) 896-6107

Phone(856) 690-1616

Fax(856) 896-6107

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateDecember 5, 2012

Last NPPES UpdateOctober 26, 2023

NPPES CertifiedOctober 26, 2023

✔ NPI 1952646747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NJ · 25MP00298300

352 S DELSEA DR UNIT C, Vineland, NJ 08360

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kaitlin Connelly Pa-c 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.

PECOS PAC ID2860646619

PECOS Enrollment IDI20130204000332

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

228 services72 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

110 services91 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

32 services26 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

19 services16 patients

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.

54.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

45.49

Promoting Interoperability

Improvement Activities

Cost

65.37

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Other Providers at the Same Location NPPES 10

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

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