Active NPI
Kevin Matthew Cornett, MSN, RN
- Nurse Practitioner
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN10021104
- Practice address
- 55 Fruit St
Boston, MA 02114-2696 - Phone
- (617) 726-8707
- NPI assigned
- Sep 1, 2021
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN10021104 | MA | Primary |
| Registered Nurse | 163W00000X | 95086714 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | 95018707 | CA |
Addresses
Primary practice location
55 Fruit St
Boston, MA 02114-2696
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
300 Stein Plaza Suite 420
Los Angeles, CA 90095-2072
Phone (310) 825-5111
Other practice location 2
1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072
Phone (310) 319-3475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MA
- 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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612
55 Fruit St
Boston, MA 02114-2696
Phone (617) 724-0287
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.23 of 100
- Quality
- 77.83
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.17
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018707 | CA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Hospital Corp | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Cedars-Sinai Medical Center | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Past | Accepting new patients |
Locations
757 Westwood Plz
Los Angeles, CA 90095
Phone (310) 267-9448
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291
8700 Beverly Blvd
Fl 8
West Hollywood, CA 90048
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
330 Brookline Ave
#9
Boston, MA 02215
Phone (617) 667-2100
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
330 Brookline Ave
#407
Boston, MA 02215
175 Cambridge St
Boston, MA 02114
Phone (617) 523-7006
55 Fruit St
Boston, MA 02114
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
Interoperability endpoints
- cornett.kevin.mgh@direct.partners.masshiway.net
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1679397913
-
- Pharmacy
- Los Angeles, CA
- NPI 1376514810
-
- Dermatology Physician
- Boston, MA
- NPI 1043250616
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1467120840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142696",
"telephone_number": "617-726-8707"
}
],
"practiceLocations": [
{
"address_1": "300 Stein Plaza Suite 420",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900952072",
"country_code": "US",
"telephone_number": "310-825-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1131 Wilshire Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904012072",
"country_code": "US",
"telephone_number": "310-319-3475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNETT",
"first_name": "KEVIN",
"middle_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "MSN, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-01",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN10021104",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95086714",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95018707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.