Kacey Cornell, FNP-C in Rockwall, TX - Medicare Nurse Practitioner

Kacey Cornell, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Rockwall, Texas. Her current practice location is 430 Forestridge Dr, Rockwall, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 816-4780.

Kacey Cornell is licensed to practice in California (license number 95033557) 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 1992516108.

Contact Information

	Kacey Cornell, FNP-C
	430 Forestridge Dr, Rockwall, TX 75087-0137
	(972) 816-4780
	Not Available

Map and Direction

Provider's Profile

Full Name	Kacey Cornell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	430 Forestridge Dr, Rockwall, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992516108
Provider Enumeration Date: 01/16/2025
Last Update Date: 07/08/2025

Medicare PECOS Information:

PECOS PAC ID: 0941724629
Enrollment ID: I20250404000012

Medical Identifiers

Medical identifiers for Kacey Cornell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992516108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	356063 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	95033557 (California)	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. Kacey Cornell allows following entities to bill medicare on her behalf.

Entity Name	Ophelia Medical Group Fl Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588244750 PECOS PAC ID: 7810398534 Enrollment ID: O20210701000351

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. Kacey 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 Address	Practice Location Address
Kacey Cornell, FNP-C 430 Forestridge Dr, Rockwall, TX 75087-0137 Ph: (972) 816-4780	Kacey Cornell, FNP-C 430 Forestridge Dr, Rockwall, TX 75087-0137 Ph: (972) 816-4780

Reviews and Comments

Nurse Practitioner Nurses in Rockwall, TX

Sarah Holdman, APRN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1721 Plummer Dr, Rockwall, TX 75087 Phone: 469-323-1367
Tonda Bailey, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 W Ralph Hall Pkwy Ste 221, Rockwall, TX 75032 Phone: 972-772-5450 Fax: 972-772-5452
Mrs. Lisa Jayne Gauvin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3142 Horizon Rd Ste 100, Rockwall, TX 75032 Phone: 817-442-9300 Fax: 844-358-4178
Kimberly Yvette King, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Arista Dr Ste 105, Rockwall, TX 75032 Phone: 469-757-8149
Mrs. Kisha Lashun Chance, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1043 Starlight Pl, Rockwall, TX 75087 Phone: 214-668-6505
Mrs. Tamela Kuhnell, MSN, APRN, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3150 Horizon Rd, Rockwall, TX 75032 Phone: 214-343-6663 Fax: 214-343-2814
Terri Lea Noel, RNC, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1005 W Ralph M Hall Pkwy, Suite 201, Rockwall, TX 75032 Phone: 972-771-9081 Fax: 972-771-7102

Kacey Cornell, FNP-C - Medicare Nurse Practitioner in Rockwall, TX