Nicole E Cornelio, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1735 Post Rd
Fairfield, CT 06824-5782

Phone

(203) 256-3990

Fax

(203) 256-3993

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians for Women'S Health, LLCGroup PAC ID 3274430665, 319 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010

Merit-based Incentive Payment System (MIPS)

Final score

89.08 of 100Reported as group

Quality

85.82

Promoting interoperability

100

Improvement activities

40

Cost

77.8

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.cornelio.1@10170.direct.athenahealth.com

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.

• Physicians for Women'S Health LLC

  • Obstetrics & Gynecology Physician
  • Rocky Hill, CT
  • NPI 1801826680
  Medicare reassignment Care Compare group
• Hartford Healthcare Medical Group Specialists, PLLC

  • Surgery Physician
  • Hartford, CT
  • NPI 1023584216

  Single Specialty

  Medicare reassignment NPD
• QMG2,LLC

  • Urgent Care Clinic/Center
  • Fairfield, CT
  • NPI 1437546363
  Medicare reassignment
• QMG3, LLC

  • Urgent Care Clinic/Center
  • Shelton, CT
  • NPI 1053856039
  Medicare reassignment
• QMG4, LLC

  • Family Medicine Physician
  • Bridgeport, CT
  • NPI 1023471299
  Medicare reassignment
• QMG5,LLC

  • Urgent Care Clinic/Center
  • Trumbull, CT
  • NPI 1386233344
  Medicare reassignment
• Quentin Medical Group, LLC

  • Urgent Care Clinic/Center
  • Bridgeport, CT
  • NPI 1487087250
  Medicare reassignment
• Hartford Healthcare Medical Group Specialists LLC

  • Customized Equipment (DME)
  • Groton, CT
  • NPI 1295367068
  NPD
• QMG7,LLC

  • Urgent Care Clinic/Center
  • New Haven, CT
  • NPI 1487367199

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1649260845
  Care Compare affiliation
• Bridgeport Hospital

  • General Acute Care Hospital
  • Bridgeport, CT
  • NPI 1992910152
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1699416461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245782",
            "telephone_number": "203-256-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245782",
            "telephone_number": "203-256-3990",
            "fax_number": "203-256-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIO",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin R Cook, DDS
• Emma S Cooke, ND
• Megan Cooke, PHARMD
• Mikala Marie Coppolella, MA, LPC
• Tara Core, LPCA
• Cosmetic and Reconstructive Dentistry
• Cosmetic and Reconstructive Dentistry Associates, P.C.
• Catherine Cote
• Counseling & Family Therapy Center
• John R Cox, DPT

• Physician Assistant in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; 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.

Verify at the official NPI Registry.