Krista Cornelius, APNP - Medicare Nurse Practitioner in Appleton, WI

Krista Cornelius, APNP is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. Her current practice location is 3925 N Gateway Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 380-4999.

Krista Cornelius is licensed to practice in Wisconsin (license number 2893-033) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1619082021.

Contact Information

Krista Cornelius, APNP
3925 N Gateway Dr,
Appleton, WI 54913-7863
(920) 380-4999
(920) 380-4961

Map and Direction




Provider's Profile

Full NameKrista Cornelius
GenderFemale
SpecialityNurse Practitioner - Family
Location3925 N Gateway Dr, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619082021
  • Provider Enumeration Date: 08/19/2006
  • Last Update Date: 01/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7012915549
  • Enrollment ID: I20061117000138

Medical Identifiers

Medical identifiers for Krista Cornelius such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619082021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2893-033 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krista Cornelius allows following entities to bill medicare on her behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krista Cornelius is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Krista Cornelius, APNP
3 Neenah Ctr,
Neenah, WI 54956-3070

Ph: (920) 830-5900
Krista Cornelius, APNP
3925 N Gateway Dr,
Appleton, WI 54913-7863

Ph: (920) 380-4999

Reviews and Comments


Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    
Dessia J Laxton-reinke, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-738-5369
Katie Geiser, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913
Phone: 920-886-9380    
Lisa Valiquette, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-738-4600    Fax: 920-738-4792
Kimberly A Romenesko, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-735-7645    Fax: 920-735-7618
Steven R Hamel, APN FP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Trisha Loehrke, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2600 S Heritage Woods Dr, Appleton, WI 54915
Phone: 920-225-7875    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.