Kimberley M Cornely, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mantua, New Jersey. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Insite Medical Nj Pa and her current practice location is
Po Box 14, Mantua, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(856) 446-5632.
Kimberley M Cornely is licensed to practice in New Jersey (license number 26NJ15197500) 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 1053134742.
Provider's Profile
| Full Name | Kimberley M Cornely |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | Po Box 14, Mantua, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberley M Cornely graduated from nursing school in 2024
NPI Data:
- NPI Number: 1053134742
- Provider Enumeration Date: 11/01/2024
- Last Update Date: 01/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 6709300577
- Enrollment ID: I20250414002786
Medical Identifiers
Medical identifiers for Kimberley M Cornely such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053134742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ15197500 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Insite Medical Nj Pa | 8022487743 | 9 |
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. Kimberley M Cornely allows following entities to bill medicare on her behalf.
| Entity Name | Insite Medical Nj Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538807011
PECOS PAC ID: 8022487743
Enrollment ID: O20221219002508 |
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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. Kimberley M Cornely 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 |
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Kimberley M Cornely, PMHNP-BC
9 Kent Ct,
West Deptford, NJ 08051-1731
Ph: () - | Kimberley M Cornely, PMHNP-BC
Po Box 14,
Mantua, NJ 08051-0014
Ph: (856) 446-5632 |
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