Active NPI
Jonathan E Corneil, P.A., A.T.C.
- Physician Assistant
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9105732
- Practice address
- 1250 Pine Ridge Rd Ste 202
Naples, FL 34108-8913 - Phone
- (239) 325-1135
- Fax
- (239) 262-3843
- NPI assigned
- Apr 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9105732 | FL | Primary |
| Athletic Trainer | 2255A2300X | AL1532 | FL |
Addresses
Primary practice location
1250 Pine Ridge Rd Ste 202
Naples, FL 34108-8913
Mailing address
3451 Pine Ridge Rd BLDG 601
Naples, FL 34109-3922
Phone (239) 449-3072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 Pine Ridge Rd
Naples, FL 34108-8913
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 566-3434
Hospital & facility affiliations
- Physicians Regional Medical Center - Pine Ridge
- Naples Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL1532 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroscience and Spine Associates PL | Current | Accepting new patients | |
| Neuroscience and Spine Associates PL | Current | Accepting new patients | |
| Prohealth Select, Inc. | Physician Assistant | Past | Accepting new patients |
| Neuroscience and Spine Associates PL | Physician Assistant | Past | Accepting new patients |
Locations
3451 Pine Ridge Rd
Bldg 601
Naples, FL 34109
Phone (239) 449-3072
3451 Pine Ridge Rd
Ste 601
Naples, FL 34109
1660 Medical Blvd
Ste 200
Naples, FL 34110
Phone (239) 566-3434
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
1250 Pine Ridge Rd
Ste 202
Naples, FL 34108
Phone (239) 325-1135
1250 Pine Ridge Rd
Ste 200
Naples, FL 34108
Phone (239) 325-1135
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.
-
- Specialist
- Naples, FL
- NPI 1811177298
-
- Orthopaedic Surgery Physician
- Naples, FL
- NPI 1023847563
-
- Interventional Pain Medicine Physician
- Naples, FL
- NPI 1669536645
Physician Assistant
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
- General Acute Care Hospital
- Naples, FL
- NPI 1215003348
-
- General Acute Care Hospital
- Naples, FL
- NPI 1316992134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1720040249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3451 PINE RIDGE RD BLDG 601",
"city": "NAPLES",
"state": "FL",
"postal_code": "341093922",
"telephone_number": "239-449-3072",
"fax_number": "877-334-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 PINE RIDGE RD STE 202",
"city": "NAPLES",
"state": "FL",
"postal_code": "341088913",
"telephone_number": "239-325-1135",
"fax_number": "239-262-3843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEIL",
"first_name": "JONATHAN",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "P.A., A.T.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9105732",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL1532",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.