GINA CORNWALL (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225636749
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
17,004 NURSE PRACTITIONER in NY
Provider Addresses for GINA CORNWALL (NP)
337 S 12TH ST
LINDENHURST, NY 117574519
Phone: (631) 455-6730
Type: Mailing
400 SUNRISE HWY
AMITYVILLE, NY 117012508
Phone: (631) 264-4000
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 $101.
Total Amount is formed as General ($101) + Research ($0) + Ownership ($0) = $101.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($41).
Total Amount
$101
General + Research + Ownership
Payments
3
Total payment records
General Amount
$101
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $41 |
| Indivior Inc. | $31 |
| Otsuka America Pharmaceutical, Inc. | $28 |
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: 2024-07-11
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 |
|---|---|---|---|---|
| I20240711000924 | I | Nurse Practitioner | NY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 11757)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | NY | |
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Nurse Practitioner | NY | |
| Mental Health Counselor | NY | |
| P S Y C H I A T R Y | NY | |
| Nurse Practitioner | NY | |
| Nurse Practitioner | NY |
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