KATHLEEN R CORNELL (N.P.) – Nurse Practitioner, NPI 1801265947

KATHLEEN R CORNELL (N.P.) is a healthcare provider. based in Mashpee, Massachusetts. specializing in Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. F339768 (NY). The NPI Number for KATHLEEN R CORNELL (N.P.) is 1801265947

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN R CORNELL (N.P.)
NPI
1801265947
Phone
(508) 477-7090
Address
107 COMMERCIAL ST
Enumeration Date
18 September 2015
Last Update Date
5 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5185838497
Graduation Year
2015 (11 years ago)
PAC ID
4688976954
Group Practice PAC ID
6406740273
Professional Enrollment ID
I20160104000407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for KATHLEEN R CORNELL (N.P.)

  • 107 COMMERCIAL ST

    MASHPEE, MA 026496507

    Phone: (508) 477-7090

    Fax: (507) 477-3909

    Type: Mailing

  • 848 ROUTE 50

    BURNT HILLS, NY 12027

    Phone: (518) 831-1500

    Fax: (518) 280-8464

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $690.

Total Amount is formed as General ($690) + Research ($0) + Ownership ($0) = $690.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($103).

Total Amount

$690

General + Research + Ownership

Payments

34

Total payment records

General Amount

$690

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2019-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160104000407INurse PractitionerNYTBD
I20191125002105INurse PractitionerMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02649)

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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: 6406740273View full group profile
NameSpecialtyState
-NY
Nurse PractitionerNY
Orthopedic SurgeryNY
Physician AssistantNY
Physician AssistantNY
-NY
Family PracticeNY
U R O L O G YNY
Physician AssistantNY
P O D I A T R YNJ

Reviews

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Frequently asked questions

What number should I use to identify KATHLEEN R CORNELL (N.P.) for billing?
Administrative and clinical systems typically use NPI 1801265947 for KATHLEEN R CORNELL (N.P.).
Quick check: is KATHLEEN R CORNELL (N.P.) active?
Public NPPES data shows KATHLEEN R CORNELL (N.P.) with an active NPI status right now.
What services align with KATHLEEN R CORNELL (N.P.)'s listing?
KATHLEEN R CORNELL (N.P.)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KATHLEEN R CORNELL (N.P.)?
KATHLEEN R CORNELL (N.P.) shows a connection to Mashpee, Massachusetts in registry-derived data.
Why is information missing for KATHLEEN R CORNELL (N.P.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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