Carissa R Cornell, NP - Medicare Nurse Practitioner in Bismarck, ND

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Carissa R Cornell, NP is a medicare enrolled "Nurse Practitioner" in Bismarck, North Dakota. She graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ideal Telemedicine Services Llc, Ideal Option Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc, Ideal Option Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc, Ideal Telemedicine Services Llc, Ideal Option Pllc and her current practice location is 1221 W Divide Ave Ste 202, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at (877) 522-1275.

Carissa R Cornell is licensed to practice in North Dakota (license number R34040) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629323605.

Contact Information

Carissa R Cornell, NP
1221 W Divide Ave Ste 202,
Bismarck, ND 58501-1224
(877) 522-1275
(833) 888-7145

Map and Direction




Provider's Profile

Full NameCarissa R Cornell
GenderFemale
SpecialityNurse Practitioner
Experience14 Years
Location1221 W Divide Ave Ste 202, Bismarck, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carissa R Cornell graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1629323605
  • Provider Enumeration Date: 07/17/2012
  • Last Update Date: 03/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5092941229
  • Enrollment ID: I20131119000019

Medical Identifiers

Medical identifiers for Carissa R Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629323605NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R34040 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ideal Telemedicine Services Llc286072622158
Ideal Option Pllc670901310594
Ideal Telemedicine Services Llc286072622158
Ideal Option Pllc670901310594
Ideal Option Pllc670901310594
Ideal Telemedicine Services Llc286072622158
Ideal Option Pllc670901310594
Ideal Telemedicine Services Llc286072622158
Ideal Option Pllc670901310594
Ideal Telemedicine Services Llc286072622158
Ideal Option Pllc670901310594
Ideal Telemedicine Services Llc286072622158
Ideal Option Pllc670901310594

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. Carissa R Cornell allows following entities to bill medicare on her behalf.
Entity NameSanford Bismarck
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811941172
PECOS PAC ID: 9739098575
Enrollment ID: O20031105000403
Entity NameIdeal Option Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457788275
PECOS PAC ID: 6709013105
Enrollment ID: O20180124000592
Entity NameIdeal Telemedicine Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346754868
PECOS PAC ID: 2860726221
Enrollment ID: O20190710001382

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. Carissa R Cornell 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
Carissa R Cornell, NP
500 Sw 7th St Ste A205,
Renton, WA 98057-2983

Ph: (509) 222-1275		Carissa R Cornell, NP
1221 W Divide Ave Ste 202,
Bismarck, ND 58501-1224

Ph: (877) 522-1275

Reviews and Comments


Nurse Practitioner Nurses in Bismarck, ND

Sarah Miller,
Nurse Practitioner
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Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-5422    Fax: 701-323-8645
Madison Kay Schatz, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    
Danette Pengilly, GNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 310 N 10th St, Bismarck, ND 58501
Phone: 701-530-7500    Fax: 701-530-7484
Jana Rakowski, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1040 Tacoma Ave, Bismarck, ND 58504
Phone: 701-323-7452    Fax: 701-323-6982
Mrs. Christina R Gisvold, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    
Lee Ann June Short, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-204-1709    
Rebecca L Ritter, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501
Phone: 701-530-6000    Fax: 701-530-6430

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.