AMIE J. CORNELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043211428

AMIE J. CORNELL (CRNA) is a healthcare provider. based in Louisville, Kentucky. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 1085051 (KY). The NPI Number for AMIE J. CORNELL (CRNA) is 1043211428

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
AMIE J. CORNELL (CRNA)
NPI
1043211428
Phone
(502) 690-8782
Address
100 MALLARD CREEK RD STE 320
Enumeration Date
9 August 2005
Last Update Date
29 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5022382888
Graduation Year
2005 (21 years ago)
PAC ID
5294756136
Group Practice PAC ID
9032206107
Professional Enrollment ID
I20051207000793
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,370 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in KY

Provider Addresses for AMIE J. CORNELL (CRNA)

  • 100 MALLARD CREEK RD STE 320

    LOUISVILLE, KY 402075136

    Phone: (502) 690-8782

    Fax: (502) 459-0923

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2023-09-12 • Largest payer in this snapshot: Fisher & Paykel Healthcare Inc ($34).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-12-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051207000793ICertified Registered Nurse Anesthetist (Crna)KYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2524$0
01480Anesthesia for other procedure on lower leg, ankle, and foot bones1515$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 40207)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032206107View full group profile
NameSpecialtyState
-KY

Reviews

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Frequently asked questions

Can I use this page to confirm AMIE J. CORNELL (CRNA)'s NPI?
Yes. AMIE J. CORNELL (CRNA) is listed with NPI 1043211428 in the public NPI dataset.
Does CMS list AMIE J. CORNELL (CRNA) as active?
Yes — AMIE J. CORNELL (CRNA) is active in the NPI listing used on this page.
What healthcare role does AMIE J. CORNELL (CRNA) hold?
Scheduling teams often label AMIE J. CORNELL (CRNA) under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is AMIE J. CORNELL (CRNA) based?
AMIE J. CORNELL (CRNA) is tied to Louisville, Kentucky in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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