Active NPI
Erin M. Cornelius, PA-C
- Physician Assistant
- Arvada, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1704
- Practice address
- 7950 Kipling St
Ste 101
Arvada, CO 80005-3923 - Phone
- (303) 425-4680
- Fax
- (303) 425-1616
- NPI assigned
- Oct 13, 2006
- Last updated
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1704 | CO | Primary |
Addresses
Primary practice location
7950 Kipling St
Ste 101
Arvada, CO 80005-3923
Mailing address
1707 Cole Blvd
Ste 100
Golden, CO 80401-3220
Phone (303) 716-8018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 72959541 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nebraska College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111
2631 S 70TH St
Neurology Associates
Lincoln, NE 68506-2960
Phone (402) 483-7226
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1704 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Current | Accepting new patients | |
| Neurology Associates, P.C. | Past | Accepting new patients |
Locations
2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877
2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042
2631 S 70th St
Lincoln, NE 68506
Phone (402) 483-7226
Interoperability endpoints
- ecornelius154767@hisp.bryanhealth.org
- https://fhir4.healow.com/fhir/r4/IAJFAA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1679528798
-
- Neurology Physician
- Lincoln, NE
- NPI 1437195328
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1558910604
-
dba Madonna Rehabilitation Hospital Lincoln
- Rehabilitation Hospital
- Lincoln, NE
- NPI 1558458091
Inpatient rehabilitation facility
-
dba Memorial Hospital
- Critical Access Hospital
- Aurora, NE
- NPI 1063429694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1073603650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 COLE BLVD",
"address_2": "STE 100",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804013220",
"telephone_number": "303-716-8018",
"fax_number": "303-763-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7950 KIPLING ST",
"address_2": "STE 101",
"city": "ARVADA",
"state": "CO",
"postal_code": "800053923",
"telephone_number": "303-425-4680",
"fax_number": "303-425-1616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIUS",
"first_name": "ERIN",
"middle_name": "M.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "72959541",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.