Individual provider Active NPI

Katie Ann Cornelius

  • Family Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1205697836
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28173431A Issued in IN
Practice address
3518 Pine LN
Lafayette, IN 47905-4077
Phone
(765) 337-4846
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28173431A IN Primary

Addresses

Primary practice location

3518 Pine LN
Lafayette, IN 47905-4077

Mailing address

3518 Pine LN
Lafayette, IN 47905-4077
Phone (765) 337-4846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240816001040 IN Practitioner - Nurse Practitioner 1052859469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Healthcare LLCGroup PAC ID 0244123362, 62 clinicians
Valley Oaks Health IncGroup PAC ID 7315927563, 45 clinicians

Practice addresses (Care Compare)

3806 Amelia Ave
Suite 2
Lafayette, IN 47905-5772
Phone (765) 449-3900

41 N Long Ave
Attica, IN 47918-8117
Phone (765) 762-6187

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28173431AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare, LLC CurrentSince Sep 15, 2025 Accepting new patients
Unity Healthcare, LLC Current Accepting new patients
Valley Oaks Health Inc CurrentSince Aug 8, 2024 Accepting new patients
Valley Oaks Health Inc CurrentSince Aug 8, 2024 Accepting new patients
Unity Healthcare LLC CurrentSince Sep 15, 2025 Accepting new patients
Unity Healthcare LLC Past Accepting new patients

Locations

41 N Long Ave
Attica, IN 47918
Phone (765) 762-6187

203 N Division St
Flora, IN 46929
Phone (219) 967-4523

2323 Ferry St
Lafayette, IN 47904
Phone (765) 203-1110

1345 Unity Pl
Ste 235
Lafayette, IN 47905
Phone (765) 446-5065

610 Main St
Lafayette, IN 47901
Phone (765) 423-2638

3806 Amelia Ave
Ste 2
Lafayette, IN 47905
Phone (765) 449-3900

415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535

152 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 423-6556

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1205697836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 PINE LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054077",
            "telephone_number": "765-337-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 PINE LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054077",
            "telephone_number": "765-337-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28173431A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.