Individual provider Active NPI

Katherine E Cornwell, PA-C

  • Medical Physician Assistant
  • Chambersburg, PA
National Provider Identifier
1740235779
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA-053677 Issued in PA
Practice address
22 St Paul Dr Ste 201
Chambersburg, PA 17201
Phone
(717) 217-6944
Fax
(717) 217-6955
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110002292 VA
Medical Physician Assistant 363AM0700X MA-053677 PA Primary

Addresses

Primary practice location

22 St Paul Dr Ste 201
Chambersburg, PA 17201

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 217-6944

Other practice location 2

338 Alexander Spring Rd
Carlisle, PA 17015-9129
Phone (717) 218-5103

Other practice location 3

501 E Main St Fl 2
Waynesboro, PA 17268-2353
Phone (717) 217-6944

Other identifiers 2

IdentifierTypeStateIssuer
1007307260040OtherMEDICAID GROUP #
103165061 0001MedicaidPA

Other names 1

  • Katherine E Bender Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100715000641 PA Practitioner - Physician Assistant 3476566068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

112 N 7TH St
Chambersburg, PA 17201-1720
Phone (717) 267-7164

22 St Paul Dr
Chambersburg, PA 17201-1036

25 Monument Rd
York, PA 17403-5073

2618 E Market St
Autumn House
York, PA 17403
Phone (717) 845-7214

914 W Market St
Autumn House West
York, PA 17403
Phone (717) 845-7214

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Wellspan York Hospital Hospital, York, PA, CCN 390046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA-053677PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Summit Physician Services Past Accepting new patients
Northern Virginia Cardiology Associates, PC Past Accepting new patients

Locations

338 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 218-5103

22 St Paul Dr
Ste 201
Chambersburg, PA 17201
Phone (717) 217-6955

22 St Paul Dr
Chambersburg, PA 17201
Phone (717) 217-6020

97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

501 E Main St
Fl 2
Waynesboro, PA 17268

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: kcornwell226836@wellspan.direct-ci.com

Organizations & group practices 5

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 8

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1740235779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ST PAUL DR STE 201",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "17201",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "338 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159129",
            "country_code": "US",
            "telephone_number": "717-218-5103",
            "fax_number": "717-303-3729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-217-6944",
            "fax_number": "717-217-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110002292",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA-053677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "1007307260040",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103165061 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "BENDER",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.