MANDY CONNELLY RN
NPI 1972466175
Nurse Practitioner - Family in Lake Havasu City, AZ
About Mandy Connelly Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY CONNELLY RN (NPI 1972466175) is an individual family provider in Lake Havasu City, Arizona, licensed in Arizona (332482) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Mandy Connelly Rn 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 86403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
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 Mandy Connelly's NPI number?
The NPI number for Mandy Connelly is 1972466175. It was assigned to this individual provider in the NPPES registry on December 4, 2025.
Where is Mandy Connelly located?
Mandy Connelly practices at 101 Civic Center Ln, Lake Havasu City, AZ 86403. The listed phone number is (928) 855-8185.
What is Mandy Connelly's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mandy Connelly enrolled in Medicare?
Yes. Mandy Connelly 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.
When was this NPI record last updated?
The NPPES record for Mandy Connelly was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mandy Connelly, RN · NPI 1972466175
Family physician in Lake Havasu City, Arizona. Individual provider, active in the CMS NPPES registry since December 4, 2025.
## Identity
- **NPI:** 1972466175 (Entity type: Individual)
- **Enumerated:** December 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 332482 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 CIVIC CENTER LN, Lake Havasu City, AZ 86403-5607
- **Phone:** (928) 855-8185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972466175) · Data from the CMS NPPES public registry.