Alyssa Lee Ann Cornelius, APRN in Stanford, KY

Alyssa Lee Ann Cornelius, APRN is a medicare enrolled "Nurse Practitioner - Family" in Stanford, Kentucky. Her current practice location is 135 Wade Owens Rd N, Stanford, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 669-6006.

Alyssa Lee Ann Cornelius is licensed to practice in Kentucky (license number 3019103) 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 1992490502.

Contact Information

	Alyssa Lee Ann Cornelius, APRN
	135 Wade Owens Rd N, Stanford, KY 40484
	(606) 669-6006
	(606) 661-0141

Map and Direction

Provider's Profile

Full Name	Alyssa Lee Ann Cornelius
Gender	Female
Speciality	Nurse Practitioner - Family
Location	135 Wade Owens Rd N, Stanford, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992490502
Provider Enumeration Date: 04/10/2023
Last Update Date: 09/15/2025

Medicare PECOS Information:

PECOS PAC ID: 8921465741
Enrollment ID: I20230608002645

Medical Identifiers

Medical identifiers for Alyssa Lee Ann Cornelius such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992490502	NPI	-	NPPES
7100894100	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3019103 (Kentucky)	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. Alyssa Lee Ann Cornelius allows following entities to bill medicare on her behalf.

Entity Name	Cumberland Family Medical Center, Inc..
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306873500 PECOS PAC ID: 6305947789 Enrollment ID: O20120221000433

Entity Name	James Duncan Md Consulting Service Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245830017 PECOS PAC ID: 6103238662 Enrollment ID: O20201208000664

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. Alyssa Lee Ann 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 Address	Practice Location Address
Alyssa Lee Ann Cornelius, APRN Po Box 1080, Burkesville, KY 42717-1080 Ph: (270) 858-6655	Alyssa Lee Ann Cornelius, APRN 135 Wade Owens Rd N, Stanford, KY 40484 Ph: (606) 669-6006

Reviews and Comments

Nurse Practitioner Nurses in Stanford, KY

Kristin Johnsen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Metker Trl, Suite A, Stanford, KY 40484 Phone: 606-365-8338 Fax: 606-365-8142
Shannah Click, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Wade Owens Rd N, Stanford, KY 40484 Phone: 606-669-6006 Fax: 606-661-0141
Jennifer Merrick, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 110 Metker Trl, Stanford, KY 40484 Phone: 606-365-3360
Mrs. Jamie Lynn Atwood, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Jay St, Stanford, KY 40484 Phone: 606-365-1547 Fax: 606-365-8380
Mrs. Tracy Michele Boller, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 132 Frontier Blvd Ste 103, Stanford, KY 40484 Phone: 859-287-2949 Fax: 855-297-6367
Mrs. Jesslyn Brianne Kelsey, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Jay St, Stanford, KY 40484 Phone: 859-583-7870 Fax: 606-365-8380
Taylor Graves, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 Harmon Hts, Stanford, KY 40484 Phone: 606-365-2141 Fax: 606-365-9755

Alyssa Lee Ann Cornelius, APRN - Medicare Nurse Practitioner in Stanford, KY