MRS. KASSANDRA SUE KORNBAU (DNP,PMHNP-BC,FNP-BC) – Family Nurse Practitioner, NPI 1447596564
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,984 NURSE PRACTITIONER in OH
Provider Addresses for MRS. KASSANDRA SUE KORNBAU (DNP,PMHNP-BC,FNP-BC)
8423 MARKET ST
STE 101
BOARDMAN, OH 445126778
Phone: (330) 729-8700
Fax: (330) 729-8701
Type: Mailing
3768 BOARDMAN CANFIELD RD # 5
CANFIELD, OH 444068502
Phone: (330) 798-0491
Type: Location
PO BOX 1098
DALLAS, NC 280341098
Phone: (330) 798-0491
Fax: (330) 303-4948
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 319 Open Payments records for all available years, with a total value of $53,525.
Total Amount is formed as General ($53,525) + Research ($0) + Ownership ($0) = $53,525.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($34,748).
Total Amount
$53,525
General + Research + Ownership
Payments
319
Total payment records
General Amount
$53,525
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $34,748 |
| Axsome Therapeutics, Inc. | $15,862 |
| ABBVIE INC. | $539 |
| Lundbeck LLC | $324 |
| Teva Pharmaceuticals USA, Inc. | $313 |
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: 2013-07-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20130708000756 | I | Nurse Practitioner | OH | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 91 | 49 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 38 | $0 |
Insurance plans in this area (ZIP 44512)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OH | 81002 | Urinalysis, manual test | 15 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Mental Health Counselor | NC | |
| Clinical Social Worker | OH | |
| Mental Health Counselor | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | OH | |
| Mental Health Counselor | OH | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | OH |
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