Individual provider Active NPI

Marlene Cornelius, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1699021451
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
652859 Issued in TX
Practice address
10125 Katy Fwy Ste 106
Houston, TX 77024-1287
Phone
(713) 486-1330
NPI assigned
Jul 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 652859 TX
Family Nurse Practitioner 363LF0000X 652859 TX Primary

Addresses

Primary practice location

10125 Katy Fwy Ste 106
Houston, TX 77024-1287

Mailing address

18911 Windsor Lakes Dr
Houston, TX 77094-3306
Phone (832) 275-3390

Other identifiers 1

IdentifierTypeStateIssuer
652859OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231228001286 TX Practitioner - Nurse Practitioner 6608094677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

27700 Hwy 290
Cypress, TX 77433-6767

27700 Northwest Fwy
Cypress, TX 77433-6767
Phone (713) 486-5750

27700 Northwest Fwy 320
Cypress, TX 77433-6767
Phone (713) 486-5750

27700 NW Fwy 200
Cypress, TX 77433-6767
Phone (713) 486-5750

6410 Fannin St
Houston, TX 77030-3005

929 B Gessner Rd
Suite 106
Houston, TX 77024-2659
Phone (713) 486-1755

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
652859TXMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Nov 13, 2023 Accepting new patients
Ut Physicians CurrentSince Nov 13, 2023 Accepting new patients

Locations

27700 NW Freeway
Ste 100
Cypress, TX 77433
Phone (346) 231-6850

10125 Katy Fwy
Ste 106
Houston, TX 77024
Phone (713) 464-6000

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

929 Gessner Rd
Ste 2225
Houston, TX 77024
Phone (713) 365-2900

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1699021451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18911 WINDSOR LAKES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770943306",
            "telephone_number": "832-275-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10125 KATY FWY STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241287",
            "telephone_number": "713-486-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "MARLENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "652859",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "652859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "652859",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.