Katrina Kornack, FNP-BC - Medicare Nurse Practitioner in Fairfax Station, VA

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Katrina Kornack, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fairfax Station, Virginia. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of New Jersey Llc and her current practice location is 9009 Silverbrook Rd, Fairfax Station, Virginia. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Katrina Kornack is licensed to practice in Virginia (license number 26NJ15084800) 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 1053156554.

Contact Information

Katrina Kornack, FNP-BC
9009 Silverbrook Rd,
Fairfax Station, VA 22039-2607
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameKatrina Kornack
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location9009 Silverbrook Rd, Fairfax Station, Virginia
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:
  • Katrina Kornack graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1053156554
  • Provider Enumeration Date: 06/26/2024
  • Last Update Date: 08/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1254860984
  • Enrollment ID: I20250126000071

Medical Identifiers

Medical identifiers for Katrina Kornack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053156554NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ15084800 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of New Jersey Llc8527142439112

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. Katrina Kornack allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic of New Jersey LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053353615
PECOS PAC ID: 8527142439
Enrollment ID: O20080229000382
Entity NameMinuteclinic Primary Care New Jersey LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174331524
PECOS PAC ID: 9931617578
Enrollment ID: O20250805000278

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. Katrina Kornack 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
Katrina Kornack, FNP-BC
9009 Silverbrook Rd,
Fairfax Station, VA 22039-2607

Ph: (866) 389-2727		Katrina Kornack, FNP-BC
9009 Silverbrook Rd,
Fairfax Station, VA 22039-2607

Ph: (866) 389-2727

Reviews and Comments


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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.