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

Nikotah Connolly, PA-C

Individual provider Surgical Physician Assistant · NPI 1902452428

Nikotah Connolly, PA-C is a Physician Assistant in Danville, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Pennsylvania.

Years since qualifying
6
Licensed in
CO, PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 N Academy Ave
Danville, PA 17822-3100
Phone: (570) 271-6298
Fax: (570) 271-5841
Show map & directions

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

Additional practice locations (1)

  • 6031 E Woodmen Rd Ste 250go, Colorado Springs, CO 80923-2623 — (719) 571-8660

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA062247 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.0008282 (CO)

Record details

NPI number1902452428
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2019
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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