Randy Dean Cornelius, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

D107246 Issued in IA

Practice address

709 W Main St
Manchester, IA 52057-1526

Phone

(563) 927-7356

NPI assigned

Jul 16, 2008

Last updated

Oct 3, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Iowa Mercy ClinicsGroup PAC ID 7810809076, 304 clinicians

Marengo Memorial HospitalGroup PAC ID 0749199446, 37 clinicians

Grandview Anesthesia PCGroup PAC ID 0749691335, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compass Memorial Healthcare Hospital, Marengo, IA, CCN 161317
• Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064
• Finley Hospital Hospital, Dubuque, IA, CCN 160117

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rcornelius85235@direct.unitypoint.org

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.

• Grandview Anesthesia PC

  • Certified Registered Nurse Anesthetist
  • Dubuque, IA
  • NPI 1407458367

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• North Iowa Mercy Clinics

  dba MercyOne North Iowa Anesthesia Professional Services

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1780278242
  Medicare reassignment Care Compare group NPD
• Marengo Memorial Hospital

  dba Compass Memorial Healthcare

  • Critical Access Hospital
  • Marengo, IA
  • NPI 1053368191
  Medicare reassignment Care Compare group
• Anesthesia Iowa PLC

  • Anesthesiology Physician
  • Pella, IA
  • NPI 1114018983
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• Grundy County Memorial Hospital

  dba GCMH Professional Services

  • Emergency Medicine Physician
  • Grundy Center, IA
  • NPI 1114012085

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Grundy County Memorial Hospital

  • Critical Access Hospital
  • Grundy Center, IA
  • NPI 1821055989
  Medicare reassignment NPD
• Iowa Physicians Clinic Medical Foundation

  dba UnityPoint Clinic

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274
  Medicare reassignment NPD
• Mason City Ambulatory Surgery Center, LLC

  dba Mason City Surgery Center

  • Anesthesiology Physician
  • Mason City, IA
  • NPI 1689251720

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790
  Medicare reassignment NPD
• Mercy Clinton Anesthesia Group LLC

  • Anesthesiology Physician
  • Clinton, IA
  • NPI 1184962862

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Waverly Health Center

  dba Waverly Health Center Anesthesia

  • Certified Registered Nurse Anesthetist
  • Waverly, IA
  • NPI 1033125463

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marengo Memorial Hospital

  dba Compass Memorial Healthcare

  • Critical Access Hospital
  • Marengo, IA
  • NPI 1053368191
  Care Compare affiliation
• Mercy Health Services-Iowa Corp

  dba Mercy Medical Center-North Iowa

  • Rural Acute Care Hospital
  • Mason City, IA
  • NPI 1467537886
  Care Compare affiliation
• The Finley Hospital

  dba Unitypoint Health - Finley Hosptial

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1942392600
  Care Compare affiliation

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1831353051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W MAIN ST",
            "city": "MANCHESTER",
            "state": "IA",
            "postal_code": "520571526",
            "telephone_number": "563-927-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "RANDY",
        "middle_name": "DEAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IA",
            "license": "107246",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D107246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Cisco, CRNA
• James Oliver Cody
• Timothy A Collier, DDS
• Brooke Marie Cooney, NP
• Timothy Dale Cooper, DDS
• Clinton Thomas Cummings, D.O.
• Delaware County Community Life
• Delaware County Community Services
• Delaware County Memorial Hospital (Regional Medical Center Home Care)
• Delaware County Memorial Hospital (Regional Medical Center Hospice)

• Certified Registered Nurse Anesthetist in Manchester, IA
• Providers in Manchester, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.

Verify at the official NPI Registry.