Active NPI
Kerry Lynn Kornett, APN
- Psychiatric/Mental Health Nurse Practitioner
- Shrewsbury, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 26NJ00342500
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO08935900 | NJ | MD | Psychiatric/Mental Health Registered Nurse |
| 26NJ00342500 | NJ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Complex Care PC | Current | Accepting new patients | |
| The TMS Center of New Jersey PC | Current | 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.
-
- Psychiatry Physician
- Tinton Falls, NJ
- NPI 1346725330
-
dba HMHMG Complex Care
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
-
dba Riverview Medical Center
- Psychiatry Physician
- Red Bank, NJ
- NPI 1760599336
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.
- 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.