Individual provider Active NPI

Danika Claire Cornelius, PA-C

  • Physician Assistant
  • Fort Myers, FL
National Provider Identifier
1710491386
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17393 Missouri Rd
Fort Myers, FL 33967-2832
Phone
(239) 293-4749
NPI assigned
Nov 19, 2017
Last updated
Sep 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Surgical Physician Assistant 363AS0400X PA9110803 FL

Addresses

Primary practice location

17393 Missouri Rd
Fort Myers, FL 33967-2832

Mailing address

6413 Jenny Dr
Lake Wales, FL 33898-8919
Phone (863) 330-3136

Other practice location 1

360 Douglas Ave
Altamonte Springs, FL 32714-3335
Phone (850) 304-7986

Other identifiers 2

IdentifierTypeStateIssuer
1143937OtherNCCPA
PA9110803OtherFLFL BOARD OF MEDICINE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address danika.cornelius.2@29601.direct.athenahealth.com
Direct Messaging Address danika.cornelius.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180216000445 FL Practitioner - Physician Assistant 4688934433 Reassigns benefits to 3 organizations
I20240131002666 NC Practitioner - Physician Assistant 4688934433 Reassigns benefits to 1 organization
I20260623000913 VA Practitioner - Physician Assistant 4688934433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

305 NE Park St
Okeechobee Urgent Care
Okeechobee, FL 34972-2900
Phone (772) 692-8082

7195 S George Blvd
Highland Urgent Care
Sebring, FL 33875-5823
Phone (863) 451-5854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (FL) Inc. Current Accepting new patients
Morning Star Health Solutions, Inc. CurrentSince Jun 6, 2021 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. CurrentSince Jun 9, 2025 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. CurrentSince Jun 9, 2025 Accepting new patients
Treasure Coast Medical Associates CurrentSince Mar 27, 2019 Accepting new patients

Locations

360 Douglas Ave
Altamonte Springs, FL 32714
Phone (407) 788-8200

3405 NW Federal Hwy
Jensen Beach, FL 34957
Phone (772) 692-8082

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

305 NE Park St
Okeechobee, FL 34972
Phone (772) 692-8082

7195 S George Blvd
Sebring, FL 33875
Phone (863) 451-5854

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, 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": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1710491386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6413 JENNY DR",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338988919",
            "telephone_number": "863-330-3136",
            "fax_number": "863-368-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17393 MISSOURI RD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339672832",
            "telephone_number": "239-293-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Douglas Ave",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327143335",
            "country_code": "US",
            "telephone_number": "850-304-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "DANIKA",
        "middle_name": "CLAIRE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9110803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1143937",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BOARD OF MEDICINE",
            "identifier": "PA9110803",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danika.cornelius.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "545 Gulfgate Center Mall",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770873023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danika.cornelius.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "360 Douglas Ave",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327143335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.