Active NPI
Brielle Lauren Cornelius
- Nurse Practitioner
- Olean, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 349997
- Practice address
- 623 Main St
Olean, NY 14760-1532 - Phone
- (716) 372-4212
- NPI assigned
- Jul 29, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 349997 | NY | Primary |
Addresses
Primary practice location
623 Main St
Olean, NY 14760-1532
Mailing address
623 Main St
Olean, NY 14760-1532
Phone (814) 203-1194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
424 Church St
Nashville, TN 37219-2301
703 King St
Olean, NY 14760-3009
Hospital & facility affiliations
- Olean General Hospital
- Jones Memorial Hospital
- Upmc Cole
- Kaleida Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Nurse Practitioner | Current | Accepting new patients |
| Matrix Medical of New York PC | Nurse Practitioner | Current | Accepting new patients |
| Nephrology Services Medical Group of Olean & Bradford, PC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1740 Broadway
Fl 15
New York, NY 10019
Phone (201) 256-5032
515 Main St
Olean, NY 14760
Phone (716) 373-2600
623 Main St
Olean, NY 14760
Phone (716) 372-4212
623 Main St
Ste 200
Olean, NY 14760
Phone (716) 372-4212
100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- New York, NY
- NPI 1639433063
-
- Specialist
- Olean, NY
- NPI 1023164571
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Williamsville, NY
- NPI 1053441907
-
- General Acute Care Hospital
- North Tonawanda, NY
- NPI 1104956358
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1245365196
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1366473183
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1639209596
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1831229780
-
- General Acute Care Hospital
- Olean, NY
- NPI 1225083074
-
- Medicare Defined Swing Bed Hospital Unit
- Olean, NY
- NPI 1699715904
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- Ambulatory Surgical Clinic/Center
- Coudersport, PA
- NPI 1619008554
Hospital
-
- Critical Access Hospital
- Coudersport, PA
- NPI 1326161662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659052800000",
"number": "1285360313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "623 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601532",
"telephone_number": "814-203-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 MAIN ST",
"city": "OLEAN",
"state": "NY",
"postal_code": "147601532",
"telephone_number": "716-372-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIUS",
"first_name": "BRIELLE",
"middle_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-29",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "349997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olean, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.