Individual provider Active NPI

Kerry Lynn Kornett, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Shrewsbury, NJ
National Provider Identifier
1881708741
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00342500 Issued in NJ
Practice address
661 Shrewsbury Ave
Meridian Behavioral Health
Shrewsbury, NJ 07702-4183
Phone
(732) 345-3400
Fax
(732) 345-3401
NPI assigned
Aug 18, 2006
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 26NO08935900 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00342500 NJ Primary

Addresses

Primary practice location

661 Shrewsbury Ave
Meridian Behavioral Health
Shrewsbury, NJ 07702-4183

Mailing address

661 Shrewsbury Ave
Shrewsbury, NJ 07702-4183
Phone (732) 345-3400

Other practice location 1

43 W Front St Ste 14B
Red Bank, NJ 07701-1600
Phone (732) 822-4220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20111205000506 NJ Practitioner - Nurse Practitioner 2365617289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The TMS Center of New Jersey PCGroup PAC ID 5991131823, 3 clinicians

Practice addresses (Care Compare)

55 N Gilbert St
Suite 2203
Tinton Falls, NJ 07701-4958
Phone (732) 934-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26NO08935900NJMDPsychiatric/Mental Health Registered Nurse
26NJ00342500NJMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Complex Care PC CurrentSince Jan 1, 2018 Accepting new patients
The TMS Center of New Jersey PC CurrentSince Nov 1, 2021 Accepting new patients
Meridian Hospitals Corporation, Inc. Dba Riverview Medical Center Past Accepting new patients

Locations

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

661 Shrewsbury Ave
Shrewsbury, NJ 07702
Phone (732) 345-3400

55 N Gilbert St
Ste 2203
Tinton Falls, NJ 07701
Phone (732) 740-7675

1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1881708741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 SHREWSBURY AVE",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024183",
            "telephone_number": "732-345-3400",
            "fax_number": "732-345-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 SHREWSBURY AVE",
            "address_2": "MERIDIAN BEHAVIORAL HEALTH",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024183",
            "telephone_number": "732-345-3400",
            "fax_number": "732-345-3401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43 W Front St Ste 14B",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011600",
            "country_code": "US",
            "telephone_number": "732-822-4220",
            "fax_number": "732-719-1913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORNETT",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NO08935900",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00342500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, NJ

Sources for this page

Verify at the official NPI Registry.