Active NPI
Joline M. Cornell, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28171228A
- Practice address
- 2600 Greenbush Street
Lafayette, IN 47904-2479 - Phone
- (765) 448-8000
- NPI assigned
- Feb 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 03796-NA | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 28171228A | IN | Primary |
Addresses
Primary practice location
2600 Greenbush Street
Lafayette, IN 47904-2479
Mailing address
PO Box 5545
Lafayette, IN 47903-5545
Phone (765) 448-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000506889 | Other | IN | ANTHEM PROVIDER NUMBER |
| 9334559 | Other | IN | PHCS PID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, VA
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.06 of 100
- Quality
- 63.56
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28171228A | IN | MD | Certified Registered Nurse Anesthetist |
| 03796-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Anesthesia Group, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest General Medical Group, Inc. | Current | Accepting new patients | |
| Southwest General Medical Group Inc | Current | Accepting new patients | |
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest General Medical Group Inc | Current | Accepting new patients | |
| Valley Anesthesia PC | Current | Accepting new patients | |
| Southwest Anesthesia Services, PSC, Inc. | Past | Accepting new patients | |
| Clinic Physician Services Co. LLC | Past | Accepting new patients |
Locations
1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000
4845 Knightsbridge Blvd
Ste 110
Columbus, OH 43214
Phone (614) 273-0400
5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911
19250 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 260-9970
18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000
15345 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 743-8000
7255 Old Oak Blvd
Ste C202
Middleburg Heights, OH 44130
Phone (440) 816-5390
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
1030 Refugee Rd
Ste 160
Pickerington, OH 43147
Phone (614) 575-6310
1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
Organizations & group practices 8
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.
-
- Anesthesiology Physician
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Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Canton, OH
- NPI 1639348113
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1134239676
-
- Anesthesiology Physician
- Salem, VA
- NPI 1275587115
-
- Durable Medical Equipment & Medical Supplies
- Middleburg HTS, OH
- NPI 1588393979
-
- Family Medicine Physician
- Strongsville, OH
- NPI 1841349537
-
- Anesthesiology Physician
- Mayfield HTS, OH
- NPI 1235127408
-
- Anesthesiology Physician
- Maumee, OH
- NPI 1235188129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202428800000",
"number": "1821060989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5545",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479035545",
"telephone_number": "765-448-8000",
"fax_number": "765-448-8335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GREENBUSH STREET",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042479",
"telephone_number": "765-448-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELL",
"first_name": "JOLINE",
"middle_name": "M.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-03",
"last_updated": "2008-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "03796-NA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28171228A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000506889",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PID NUMBER",
"identifier": "9334559",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.