MISS NICOLE SARA COURNOYER PA-C
NPI 1831412873
Physician Assistant in Bryn Mawr, PA

Q: What is Nicole Cournoyer's NPI number?

The NPI number for Nicole Cournoyer is 1831412873. It was assigned to this individual provider in the NPPES registry on March 4, 2010.

Q: What is Nicole Cournoyer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Cournoyer was last updated on August 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since March 04, 2010PECOS EnrolledAccepts Medicare Assignment

825 OLD LANCASTER RD STE 440, BRYN MAWR, PA 19010(610) 525-4511(610) 525-8561 Get Directions Write a Review

NPPES record last updated: August 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2025, Apr 4, 2025 (2 updates tracked since 2025).

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About Miss Nicole Sara Cournoyer Pa-c NPPES

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

MISS NICOLE SARA COURNOYER PA-C (NPI 1831412873) is an individual physician assistant in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (MA054094) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1831412873

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMISS NICOLE SARA COURNOYERCredential: PA-C

Location Address825 OLD LANCASTER RD STE 440Bryn Mawr, PA 19010-3236

Mailing Address825 Old Lancaster Rd Ste 320Bryn Mawr, PA 19010-3235 · (610) 527-3800

Phone(610) 525-4511

Fax(610) 525-8561

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 4, 2010

Last NPPES UpdateAugust 9, 20252 updates tracked since enumeration

NPPES CertifiedAugust 9, 2025

✔ NPI 1831412873 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 PA · MA054094

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.

825 OLD LANCASTER RD STE 440, Bryn Mawr, PA 19010

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Secondary Practice Location 1

Location 13400 Spruce StreetPhiladelphia, PA 19104 · Phone (215) 615-5858 · Fax (610) 526-8561

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

Miss Nicole Sara Cournoyer 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 ID345496279

PECOS Enrollment IDI20120809000206

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.

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390139

Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19010 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

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.

SHANNON G MALECKI NP

Registered Nurse