Individual provider Active NPI

Cory Ann O'Connell, AGCNS-BC

  • Gerontology Clinical Nurse Specialist
  • Austin, TX
National Provider Identifier
1679234926
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
1018938 Issued in TX
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

Updated by the provider on Jan 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526002352 TX Practitioner - Certified Clinical Nurse Specialist (CNS) 6002294386 Reassigns benefits to 1 organization

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
Ascension SetonGroup PAC ID 5193634293, 54 clinicians

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

LicenseStateTypeSpecialty
1018938TXMDGerontology Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton Current Accepting new patients
Ascension Seton CurrentSince May 1, 2022 Accepting new patients
Ascension Seton CurrentSince May 1, 2022 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

  • Direct secure messaging: cory.o.connell.1@8363.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.