MS. CAROL S. CORNELIUS PA-C
NPI 1598823528
Physician Assistant in Grant, NE

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
67.73/100
CMS Quality Rating
900 LINCOLN AVE, GRANT, NE 69140(308) 352-7200(308) 352-7290 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Carol S. Cornelius Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CAROL S. CORNELIUS PA-C (NPI 1598823528) is an individual physician assistant in Grant, Nebraska, licensed in Nebraska (931) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Perkins County Health Services, and maintains a secondary practice location in Grant.

NPPES Registry Identity

NPI1598823528
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CAROL S. CORNELIUSCredential: PA-C
Location Address900 LINCOLN AVEGrant, NE 69140-3095
Mailing Address912 Central AveGrant, NE 69140-3099 · (308) 352-7100 · Fax (308) 352-7290
Fax(308) 352-7290
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 4, 2006
Last NPPES UpdateOctober 2, 2019
NPI 1598823528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NE · 931
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
900 LINCOLN AVE, Grant, NE 69140

Other Names 1

Former Name (1)Ms. Carol S. Russell Pa-c

Secondary Practice Location 1

Location 1912 Central AveGrant, NE 69140-3099 · Phone (308) 352-7100 · Fax (308) 352-7290

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Carol S. Cornelius Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214970342
PECOS Enrollment IDI20050613001217
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Perkins County Health Services

Critical Access Hospitals · Grant, NE
OwnershipGovernment - Hospital District or Authority
CMS Certification Number281356
Location900 Lincoln AvenueGrant, NE 69140 · Perkins County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 69140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.52
Promoting Interoperability85
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers34 claims36 services$104.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Medicare Defined Swing Bed Unit
900 LINCOLN AVE
GRANT, NE 69140
Durable Medical Equipment & Medical Supplies
900 LINCOLN AVE
GRANT, NE 69140
Physical Therapist
900 LINCOLN AVE
GRANT, NE 69140
Clinic/Center (Multi-Specialty)
900 LINCOLN AVE
GRANT, NE 69140
General Acute Care Hospital (Critical Access)
900 LINCOLN AVE
GRANT, NE 69140
Nurse Anesthetist, Certified Registered
900 LINCOLN AVE
GRANT, NE 69140
Nurse Anesthetist, Certified Registered
900 LINCOLN AVE
GRANT, NE 69140
General Acute Care Hospital (Critical Access)
900 LINCOLN AVE
GRANT, NE 69140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carol Cornelius's NPI number?

The NPI number for Carol Cornelius is 1598823528. It was assigned to this individual provider in the NPPES registry on December 4, 2006. The provider is also known as Ms. Carol S. Russell Pa-C.

Where is Carol Cornelius located?

Carol Cornelius practices at 900 Lincoln Ave, Grant, NE 69140. The listed phone number is (308) 352-7200.

What is Carol Cornelius's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carol Cornelius enrolled in Medicare?

Yes. Carol Cornelius is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carol Cornelius accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 2 other insurers list Carol Cornelius as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carol Cornelius affiliated with any hospitals?

According to CMS data, Carol Cornelius is affiliated with Perkins County Health Services.

When was this NPI record last updated?

The NPPES record for Carol Cornelius was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.