Active NPI
Cory Ann O'Connell, AGCNS-BC
- Gerontology Clinical Nurse Specialist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 1018938
- Practice address
- 13520 Piping Plover Dr
Austin, TX 78729-8097 - Phone
- (774) 991-1996
- NPI assigned
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 1018938 | TX | Primary |
Addresses
Primary practice location
13520 Piping Plover Dr
Austin, TX 78729-8097
Mailing address
13520 Piping Plover Dr
Austin, TX 78729-8097
Phone (774) 991-1996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
130 Hays St
Luling, TX 78648-3207
Phone (512) 875-7000
200 Roy Rivers Rd
Elgin, TX 78621-2072
Phone (737) 200-6400
209 S Church St
Suite Aandb
Lockhart, TX 78644-2713
Phone (512) 376-2999
249 Sportsplex Dr
Dripping Springs, TX 78620-2348
Phone (512) 324-9570
300 S Colorado St
Lockhart, TX 78644-2700
Phone (512) 738-0625
300 S Commerce St
Suite B
Lockhart, TX 78644-2887
Phone (512) 398-2331
630 Hwy 71 W
Suite E
Bastrop, TX 78602-4234
Phone (512) 304-0313
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1018938 | TX | MD | Gerontology Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Seton | Current | Accepting new patients | |
| Ascension Seton | Current | Accepting new patients | |
| Ascension Seton | Current | Accepting new patients | |
| Seton Family of Hospitals | Past | Accepting new patients |
Locations
1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362
300 S Colorado St
Lockhart, TX 78644
Phone (512) 367-9690
300 S Commerce St
Ste B
Lockhart, TX 78644
Phone (512) 398-2331
130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000
Interoperability endpoints
- cory.o.connell.1@8363.direct.athenahealth.com
- cory.o.connell.2@8363.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba SEBD Professional Support Services
- Family Medicine Physician
- Luling, TX
- NPI 1215118609
-
dba SHL Professional Support Services
- Family Medicine Physician
- Burnet, TX
- NPI 1073536900
-
dba Ascension Seton Smithville
- Medicare Defined Swing Bed Hospital Unit
- Smithville, TX
- NPI 1598590101
-
dba Seton Highland Lakes Medical Group
- Certified Registered Nurse Anesthetist
- Burnet, TX
- NPI 1417979014
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1679234926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13520 PIPING PLOVER DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787298097",
"telephone_number": "774-991-1996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13520 PIPING PLOVER DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787298097",
"telephone_number": "774-991-1996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'CONNELL",
"first_name": "CORY",
"middle_name": "ANN",
"credential": "AGCNS-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "TX",
"license": "1018938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.