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AMANDA CORNELL PA-C
NPI 1710500863
Physician Assistant - Medical in Middletown, CT

Active since May 23, 2020PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
420 OLD SAYBROOK ROAD, MIDDLETOWN, CT 06457(860) 636-2010 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2025, Sep 9, 2025, May 23, 2020 (3 updates tracked since 2020).

About Amanda Cornell Pa-c NPPES

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

AMANDA CORNELL PA-C (NPI 1710500863) is an individual medical provider in Middletown, Connecticut, licensed in Connecticut (4819) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1710500863
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA CORNELLCredential: PA-C
Location Address420 OLD SAYBROOK ROADMiddletown, CT 06457
Mailing Address420 Old Saybrook RoadMiddletown, CT 06457 · (860) 406-2731
Phone(860) 636-2010
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 23, 2020
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1710500863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CT · 4819
420 OLD SAYBROOK ROAD, Middletown, CT 06457
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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

Amanda Cornell 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 ID1951727486
PECOS Enrollment IDI20200814001106
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services85 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services29 patients

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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.13
Promoting Interoperability100
Improvement Activities40
Cost54.54

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 Amanda Cornell's NPI number?

The NPI number for Amanda Cornell is 1710500863. It was assigned to this individual provider in the NPPES registry on May 23, 2020.

Where is Amanda Cornell located?

Amanda Cornell practices at 420 Old Saybrook Road, Middletown, CT 06457. The listed phone number is (860) 636-2010.

What is Amanda Cornell's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amanda Cornell enrolled in Medicare?

Yes. Amanda Cornell 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.

When was this NPI record last updated?

The NPPES record for Amanda Cornell was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.