Individual provider Active NPI

David A Cornell, DNP, ARNP

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1013399310
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R257465 Issued in MD
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

Updated by the provider on Mar 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181015000990 DC Practitioner - Nurse Practitioner 1557613882 Reassigns benefits to 1 organization
I20230410002637 MD Practitioner - Nurse Practitioner 1557613882 Reassigns benefits to 1 organization

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
Chase Brexton Health Services IncGroup PAC ID 5395644835, 119 clinicians

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

LicenseStateTypeSpecialty
A128989IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince Aug 26, 2018 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Mar 27, 2023 Accepting new patients
Marys Center for Maternal and Child Care Inc CurrentSince Aug 26, 2018 Accepting new patients
Chase Brexton Health Services, Inc. CurrentSince Mar 27, 2023 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.

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

Verify at the official NPI Registry.