ELLE MCCONNELL NP-C
NPI 1962161836
Nurse Practitioner in Duncansville, PA

Active since December 08, 2021PECOS EnrolledAccepts Medicare Assignment
94.33/100
CMS Quality Rating
1798 PLANK RD STE 201, DUNCANSVILLE, PA 16635(814) 696-3397 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2024, Dec 8, 2021 (2 updates tracked since 2021).

About Elle Mcconnell Np-c NPPES

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

ELLE MCCONNELL NP-C (NPI 1962161836) is an individual nurse practitioner in Duncansville, Pennsylvania, licensed in Pennsylvania (SP025043) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962161836
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELLE MCCONNELLCredential: NP-C
Location Address1798 PLANK RD STE 201Duncansville, PA 16635-8389
Mailing Address1798 Plank Rd Ste 201Duncansville, PA 16635-8389 · (814) 696-3397
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 8, 2021
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1962161836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP025043
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1798 PLANK RD STE 201, Duncansville, PA 16635

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

Elle Mcconnell Np-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 ID9931593274
PECOS Enrollment IDI20220302000757
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 Elle Mcconnell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foot & Ankle Surgery
739 S LOGAN BLVD
Hollidaysburg, PA 16648
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 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 12

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
531 services180 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
515 services184 patients
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.
158 services102 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
116 services69 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
79 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16635 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

94.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability90
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Podiatrist (Foot & Ankle Surgery)
1798 PLANK RD STE 201
DUNCANSVILLE, PA 16635
Podiatrist
1798 PLANK RD STE 201
DUNCANSVILLE, PA 16635

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 Elle Mcconnell's NPI number?

The NPI number for Elle Mcconnell is 1962161836. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Elle Mcconnell located?

Elle Mcconnell practices at 1798 Plank Rd Ste 201, Duncansville, PA 16635. The listed phone number is (814) 696-3397.

What is Elle Mcconnell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elle Mcconnell enrolled in Medicare?

Yes. Elle Mcconnell 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 Elle Mcconnell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elle Mcconnell reassigns Medicare benefits to Blair Foot And Ankle LLC (Hollidaysburg, PA). 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 Elle Mcconnell'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 Elle Mcconnell was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.