KRISTEN CORDIELLO (PA-C) – Surgical Physician Assistant, NPI 1225550353

KRISTEN CORDIELLO (PA-C) is a healthcare provider. based in Hazlet, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00440500 (NJ). The NPI Number for KRISTEN CORDIELLO (PA-C) is 1225550353

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN CORDIELLO (PA-C)
NPI
1225550353
Phone
(732) 895-0654
Address
17 AZEE DR
Enumeration Date
11 July 2017
Last Update Date
11 July 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
7416213319
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20171109000939
Address ID
NJ077530000NE3600X66XX358
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,606 PHYSICIAN ASSISTANT in NJ

Provider Addresses for KRISTEN CORDIELLO (PA-C)

  • 17, Azee Drive, Hazlet Township, Monmouth County, New Jersey, 07730, United States

    HAZLET, NJ 077302658

    Phone: (732) 895-0654

    Type: Mailing

  • 1610 ROUTE 88 STE 203

    BRICK, NJ 087243018

    Phone: (732) 840-3339

    Type: Location

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 $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: GE HEALTHCARE ($54).

Total Amount

$97

General + Research + Ownership

Payments

3

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

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: 2017-11-09

PECOS data refreshed: 2026-06-15

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
I20171109000939IPhysician AssistantNJTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 07730)

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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: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
G A S T R O E N T E R O L O G YNJ
Physician AssistantNY
Physician AssistantNJ
General SurgeryNJ
-NJ
N E U R O L O G YNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

How do I look up KRISTEN CORDIELLO (PA-C) by NPI?
Use NPI 1225550353 when you need to reference KRISTEN CORDIELLO (PA-C) in forms, claims, or directories.
Is KRISTEN CORDIELLO (PA-C)'s NPI currently valid?
The extract we use shows KRISTEN CORDIELLO (PA-C) as active.
What kind of provider is KRISTEN CORDIELLO (PA-C)?
The page reflects Surgical Physician Assistant for KRISTEN CORDIELLO (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for KRISTEN CORDIELLO (PA-C)?
We surface Hazlet, New Jersey for KRISTEN CORDIELLO (PA-C) based on available NPPES addresses.
Is KRISTEN CORDIELLO (PA-C) a real provider?
This page reflects official NPPES data for NPI 1225550353. Always confirm identity and privileges with the practice and licensing boards.

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