Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Natalie Marie Concannon, PA

Individual provider Medical Physician Assistant · NPI 1720422645

Natalie Marie Concannon, PA is a Physician Assistant in Waterford, Connecticut. Graduated from Yale University School of Medicine in 2012, 14 years ago. Practices with The William W Backus Hospital, a 247-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Connecticut and New Jersey.

Years since qualifying
14
Trained at
Yale University School of Medicine
Licensed in
CT, NJ
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5 Dayton Rd Ste 205
Waterford, CT 06385-4279
Phone: (860) 443-4445
Fax: (860) 447-8961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 910 E 26th St, Minneapolis, MN 55404 — (612) 884-6300
  • 910 E 26th St, Minneapolis, MN 55404-4526 — (612) 884-6300

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5660 (CT)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00473600 (NJ)

Record details

NPI number1720422645
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 22, 2013
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice The William W Backus Hospital — 247 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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