Natalie Concannon, PA
NPI 1720422645 · Medical Physician Assistant · Waterford, CT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Natalie Concannon, PA is a Medical Physician Assistant provider in Waterford, CT (NPI 1720422645).
Provider details
- NPI number
- 1720422645
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00473600 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 910 E 26th StSuite 100Minneapolis, MN 55404Phone: (612) 884-6300Fax: (612) 884-6363
- 910 E 26th StSuite 100Minneapolis, MN 55404-4526Phone: (612) 884-6300Fax: (612) 884-6363
Registry dates
- Enumerated
- 2013-04-22
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Natalie Concannon's NPI number?
- Natalie Concannon's National Provider Identifier (NPI) is 1720422645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Natalie Concannon's specialty?
- Natalie Concannon is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Natalie Concannon located?
- Natalie Concannon's practice location on file with NPPES is 5 Dayton Rd Ste 205, Waterford, CT 06385-4279.
- What is Natalie Concannon's phone number?
- The practice phone number listed in the NPPES registry for Natalie Concannon is (860) 443-4445.
- Does Natalie Concannon accept Medicare?
- Natalie Concannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Natalie Concannon's NPI active?
- Yes — Natalie Concannon's NPI (1720422645) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.