MRS. SHELLIA ANNE KORNEGAY (APN) – Family Nurse Practitioner, NPI 1124258553
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
Provider Addresses for MRS. SHELLIA ANNE KORNEGAY (APN)
1515 WEST 42ND STREET
PINE BLUFF, AR 71602
Phone: (870) 541-7111
Type: Location
1515, West 42nd Avenue, Pine Bluff, Jefferson County, Arkansas, 71603, United States
PINE BLUFF, AR 716037004
Phone: (870) 541-7111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $48.
Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Exact Sciences Corporation ($24).
Total Amount
$48
General + Research + Ownership
Payments
2
Total payment records
General Amount
$48
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $24 |
| Abbott Laboratories | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100106000761 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 150 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 67 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 64 | 39 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 62 | 30 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 52 | 11 | $0 |
Insurance plans in this area (ZIP 71602)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Family Practice, Emergency Medicine | AR | |
| Emergency Medicine, Family Practice | AR | |
| Nurse Practitioner | AR | |
| Emergency Medicine | AR | |
| Nurse Practitioner | AR | |
| - | TX | |
| - | AR |
Reviews
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