LAURA JEAN CORNISH (ARNP, NP-C) – Adult Health Nurse Practitioner, NPI 1649637497

LAURA JEAN CORNISH (ARNP, NP-C) is a healthcare provider. based in Puyallup, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP, NP-C. They hold a License No. RN00149975 (WA). The NPI Number for LAURA JEAN CORNISH (ARNP, NP-C) is 1649637497

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LAURA JEAN CORNISH (ARNP, NP-C)
NPI
1649637497
Phone
(253) 370-9671
Address
1118 28th Avenue Ct SW
Enumeration Date
25 January 2016
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8774483627
Graduation Year
2020 (6 years ago)
PAC ID
3476968827
Group Practice PAC ID
3072425784
Professional Enrollment ID
I20210216002751
Address ID
WA981882959TU411XXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:10State licenses:3Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for LAURA JEAN CORNISH (ARNP, NP-C)

  • 1118 28th Avenue Ct SW

    Puyallup, WA 983731655

    Phone: (253) 370-9671

    Fax: (877) 683-6119

    Type: Location

  • 1412 SW 43rd St Ste 200

    Renton, WA 980574803

    Phone: (206) 588-1722

    Fax: (877) 874-1031

    Type: Location

  • 8175 Sheridan Blvd Unit N

    Arvada, CO 800031928

    Phone: (303) 557-0855

    Fax: (415) 252-7176

    Type: Location

  • 9040 REID STREET

    MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-CLQ-C

    TACOMA, WA 984311100

    Phone: (253) 968-1110

    Fax: (877) 874-1031

    Type: Location

  • 1414 S 324TH ST STE B207

    FEDERAL WAY, WA 980038444

    Phone: (253) 220-3121

    Fax: (415) 252-7176

    Type: Location

  • 1118 28TH AVENUE CT SW

    PUYALLUP, WA 983731655

    Phone: (253) 370-9671

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $278.

Total Amount is formed as General ($278) + Research ($0) + Ownership ($0) = $278.

Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Pharmacyclics LLC, an AbbVie Company ($89).

Total Amount

$278

General + Research + Ownership

Payments

11

Total payment records

General Amount

$278

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-20

Latest reported date

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: 2023-12-28

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
I20210216002751INurse PractitionerWATBD
I20231228002666INurse PractitionerCOTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes5822$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 98373)

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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: 3072425784View full group profile
NameSpecialtyState
-IL
Nurse PractitionerMI
-IL
Infectious DiseaseIL
Emergency Medicine, Family PracticeTN
Physician AssistantIL
Nurse PractitionerIL
-IL
Nurse PractitionerFL
Physician AssistantIL

Reviews

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Frequently asked questions

What NPI should I save for LAURA JEAN CORNISH (ARNP, NP-C)?
Save NPI 1649637497 if you need a stable reference for LAURA JEAN CORNISH (ARNP, NP-C).
Does this profile mean LAURA JEAN CORNISH (ARNP, NP-C) is currently active?
Yes — LAURA JEAN CORNISH (ARNP, NP-C) appears active in the national provider directory.
What field does LAURA JEAN CORNISH (ARNP, NP-C) work in?
You can think of LAURA JEAN CORNISH (ARNP, NP-C) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for LAURA JEAN CORNISH (ARNP, NP-C)?
We surface Puyallup, Washington for LAURA JEAN CORNISH (ARNP, NP-C) based on available NPPES addresses.
How can I contact LAURA JEAN CORNISH (ARNP, NP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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