MRS. KATIE A CONNELLY CNM
NPI 1427091917
Advanced Practice Midwife in Lakewood, NJ

NPI Status: Active since June 13, 2006

Contact Information

101 PROSPECT ST
LAKEWOOD, NJ
ZIP 08701
Phone: (732) 942-4442

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 25
  • Advanced Practice Midwife
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About KATIE CONNELLY

This page provides the complete NPI Profile along with additional information for Katie Connelly, a provider established in Lakewood, New Jersey with a medical specialization in Advanced Practice Midwife and more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1427091917 assigned on June 2006. The practitioner's primary taxonomy code is 367A00000X with license number 25ME00038700 (NJ). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1427091917
Provider Name
MRS. KATIE A CONNELLY CNM
Gender
Female
Entity Type
Individual
Location Address
101 PROSPECT ST LAKEWOOD, NJ 08701
Location Phone
(732) 942-4442
Mailing Address
43 BOWNE AVE FREEHOLD, NJ 07728
Mailing Phone
(732) 616-7468
Medical School Name
OTHER
Graduation Year
2001
Is Sole Proprietor?
No
Enumeration Date
06-13-2006
Last Update Date
07-08-2007
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Advanced Practice Midwife

Taxonomy Code
367A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
25ME00038700
License State
NJ
Taxonomy Description
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Premier Bronze HSA - EPO
  • Premier Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Katie Connelly is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Katie Connelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496718926

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20041105000713

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.72 for a new patient copayment and $19.11 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 08701 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.9
  • Minimum New Patient Price $61.59
  • Maximum New Patient Price $185.05
  • Average New Patient Copayment $23.72
  • Minimum New Patient Copayment $15.39
  • Maximum New Patient Copayment $46.26

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $76.45
  • Minimum Established Patient Price $20.08
  • Maximum Established Patient Price $150.98
  • Average Established Patient Copayment $19.11
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $37.74

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MRS. KATIE A CONNELLY CNM

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427091917
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
244709292
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 0 + 9 + 2 + 9 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1427091917 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144212598DR. KIRITKUMAR M PANDYA M.D.
Individual
Urology101 PROSPECT ST ST#101
LAKEWOOD, NJ 08701
(732) 364-2262
1235111493DR. GARY DAVID GREENSTEIN M.D.
Individual
Obstetrics & Gynecology101 PROSPECT ST SUITE 202
LAKEWOOD, NJ 08701
(732) 942-4442
1700846219DR. SUNITA MEHTA M.D.
Individual
Pediatrics101 PROSPECT ST
LAKEWOOD, NJ 08701
(732) 363-1424
1457303166DR. ANDREW HARRISON M.D.
Individual
Specialist101 PROSPECT ST SUITE 107
LAKEWOOD, NJ 08701
(732) 905-8153
1790724300MRS. SHIRLEY K COHEN CNM
Individual
Advanced Practice Midwife101 PROSPECT ST SUITE 202
LAKEWOOD, NJ 08701
(732) 942-4442
1598791444MS. MARY PATRICIA BREITWIESER C.N.M.
Individual
Advanced Practice Midwife101 PROSPECT ST SUITE 202
LAKEWOOD, NJ 08701
(732) 942-4442
1205863875MS. LORI A. SHERMAN MPH, MSN, CNM
Individual
Advanced Practice Midwife101 PROSPECT ST SUITE 202
LAKEWOOD, NJ 08701
(732) 942-4442
1619904000DR. STEVEN ANTHONY CULBERT M.D.
Individual
Obstetrics & Gynecology101 PROSPECT ST SUITE 202
LAKEWOOD, NJ 08701
(732) 942-4442
1205864899 SANDEEPA MAKARAND UTPAT MD
Individual
Internal Medicine101 PROSPECT ST SUITE 115
LAKEWOOD, NJ 08701
(732) 905-6635
1811907108 SATYENDRA P SINGH MD
Individual
Internal Medicine101 PROSPECT ST SUITE 210
LAKEWOOD, NJ 08701
(732) 905-0077
1114027109DR. SUMAN JAIN M.D.
Individual
Pediatrics101 PROSPECT ST
LAKEWOOD, NJ 08701
(732) 363-1424
1457420135CATARACT & LASER INSTITUTE P A
Organization
Clinic/Center (Ophthalmologic Surgery)101 PROSPECT ST STE 102
LAKEWOOD, NJ 08701
(732) 367-0699
1255518262SURESH C GIRI MD PA
Organization
Specialist101 PROSPECT ST SUITE #117
LAKEWOOD, NJ 08701
(732) 364-7776
1710151014CENTRAL JERSEY SPORTS MEDICINE & ORTHOPAEDIC CENTER
Organization
Orthopaedic Surgery101 PROSPECT ST SUITE 107
LAKEWOOD, NJ 08701
(732) 905-8153
1659547552MARK A. FELDMAN M.D.
Organization
Orthopaedic Surgery (Orthopaedic Trauma)101 PROSPECT ST SUITE 214
LAKEWOOD, NJ 08701
(732) 370-6062
1568437671DR. ROBERT N DIAMOND OD
Individual
Optometrist101 PROSPECT ST SUITE 102
LAKEWOOD, NJ 08701
(732) 367-0699
1396282778BHMG-CORPORATE CARE
Organization
Community Health Worker101 PROSPECT ST SUITE 120
LAKEWOOD, NJ 08701
(732) 886-4795
1619417128D&M VENTURES LLC
Organization
Pharmacy (Community/Retail Pharmacy)101 PROSPECT ST SUITE#115
LAKEWOOD, NJ 08701
(848) 245-0997
1073632477EYE CONSULTANTS PA
Organization
Ophthalmology101 PROSPECT ST SUITE 102
LAKEWOOD, NJ 08701
(732) 367-0699
1073586871 STEVEN R LEFF MD
Individual
Ophthalmology101 PROSPECT ST SUITE 102
LAKEWOOD, NJ 08701
(732) 367-0699

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427091917, enumerated in the NPI registry as an "individual" on June 13, 2006

The provider is located at 101 Prospect St Lakewood, Nj 08701 and the phone number is (732) 942-4442

The provider's speciality is Advanced Practice Midwife with taxonomy code 367A00000X

The provider has more than 25 years of experience.

The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $94.9 with an average copayment of $23.72 for new patient appointments. Established patients should expect a typical charge of $76.45 and an average copayment of 19.11. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.