Active NPI
David A Cornell, DNP, ARNP
- Family Nurse Practitioner
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R257465
- Practice address
- 1111 N Charles St
Baltimore, MD 21201-5505 - Phone
- (515) 291-3283
- NPI assigned
- Jun 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A128989 | IA | |
| Family Nurse Practitioner | 363LF0000X | RN1034280 | DC | |
| Family Nurse Practitioner | 363LF0000X | R257465 | MD | Primary |
Addresses
Primary practice location
1111 N Charles St
Baltimore, MD 21201-5505
Mailing address
13706 Vanderbilt Way
Laurel, MD 20707-9524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N Charles St
Baltimore, MD 21201-5505
Phone (410) 837-2050
500 Cadmus LN
Easton, MD 21601-4094
Phone (866) 260-0412
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A128989 | IA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary'S Center for Maternal and Child Care, Inc | Current | Accepting new patients | |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients | |
| Marys Center for Maternal and Child Care Inc | Current | Accepting new patients | |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients |
Locations
2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175
3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797
1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1588606305
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1962520288
-
- Federally Qualified Health Center (FQHC)
- Columbia, MD
- NPI 1376589309
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1831635986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1013399310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13706 VANDERBILT WAY",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015505",
"telephone_number": "515-291-3283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "DAVID",
"middle_name": "A",
"credential": "DNP, ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-23",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IA",
"license": "A128989",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1034280",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R257465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.