NPIMap

Individual provider Active NPI

Brianne Kornetti

  • Physician Assistant
  • North Miami Beach, FL
National Provider Identifier
1841726122
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
160 NW 170TH St
North Miami Beach, FL 33169-5521
Phone
(786) 466-2998
NPI assigned
May 5, 2017
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

160 NW 170TH St
North Miami Beach, FL 33169-5521

Mailing address

116 Hutchinson Dr
Saint Clairsville, OH 43950-1117
Phone (740) 391-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV, FL, AR, MI5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20171020001829 OH Practitioner - Physician Assistant 4284900101 Reassigns benefits to 2 organizations
I20180911000247 WV Practitioner - Physician Assistant 4284900101 Reassigns benefits to 1 organization
I20240801000565 FL Practitioner - Physician Assistant 4284900101 Reassigns benefits to 1 organization
I20240909004608 AR Practitioner - Physician Assistant 4284900101 Reassigns benefits to 3 organizations
I20251203001192 MI Practitioner - Physician Assistant 4284900101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hisey Physician Services, LLCGroup PAC ID 8426495292, 43 clinicians
Grand Traverse Physician Services PCGroup PAC ID 2466963806, 119 clinicians
Oak Grove Physician Services PAGroup PAC ID 8628421526, 65 clinicians
Reynolds Memorial Hospital, IncGroup PAC ID 9830184530, 152 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 974-2111

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

160 NW 170 St
North Miami Beach, FL 33169-5521
Phone (305) 651-1100

800 Wheeling Ave
Glen Dale, WV 26038-1660
Phone (304) 843-3307

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2090WVMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Aug 1, 2022 Accepting new patients
Grand Traverse Physician Services PC Physician Assistant CurrentSince Nov 1, 2025 Accepting new patients
Reynolds Memorial Hospital, Inc Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

302 W Main St
Saint Clairsville, OH 43950
Phone (740) 232-6210

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

Interoperability endpoints

  • Direct secure messaging: bkornetti344626@direct.wvuhsdirect.com

Organizations & group practices 11

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.

Hospital & facility affiliations 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1841726122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 HUTCHINSON DR",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501117",
            "telephone_number": "740-391-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NW 170TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331695521",
            "telephone_number": "786-466-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNETTI",
        "first_name": "BRIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-05",
        "last_updated": "2024-05-10",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.