Andrew Alfred Cornwell, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD23625 Issued in OR

Practice address

121 SE Viewmont Ave
Corvallis, OR 97333-1968

Phone

(541) 766-3546

Fax

(541) 766-6143

NPI assigned

Dec 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: acornwell12616@direct.ochin.org

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.

• Benton County

  • Federally Qualified Health Center (FQHC)
  • Corvallis, OR
  • NPI 1275752420
  NPD (past)

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1841435302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973390579",
            "telephone_number": "541-766-6835",
            "fax_number": "541-766-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SE VIEWMONT AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973331968",
            "telephone_number": "541-766-3546",
            "fax_number": "541-766-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNWELL",
        "first_name": "ANDREW",
        "middle_name": "ALFRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD23625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500627292",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Corley, M.D.
• Abby Leigh Corliss, B.S.
• Elena Cornelius
• Lisa Ann Cornelius, DPM
• Reghan Cornell
• Gabriel T Corr
• Tiffanie M Correia
• Corvallis Acupuncture and Functional Medicine, LLC
• Corvallis Acupuncture and Wellness Center
• Corvallis Anesthesia, PC

• Family Medicine Physician in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.