Active NPI
Cornerstone Family Healthcare PLLC
- Primary Care Clinic/Center
- Pryor, OK
National Provider Identifier
1932989662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CORNERSTONE FAMILY HEALTHCARE PLLC
- Doing business as
- Cornerstone Family Healthcare
- Practice address
- 24 Quail Drive
Suite a
Pryor, OK 74361-2150 - Phone
- (918) 302-1905
- NPI assigned
- Oct 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Joann Kersker, APRN-CNP, FNP-C
- Title
- Owner/Provider
- Phone
- (918) 530-9859
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
24 Quail Drive
Suite a
Pryor, OK 74361-2150
Mailing address
265 E 460
Pryor, OK 74361-2150
Phone (918) 530-9859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003439258 | Other | OK | INDIVIDUAL NPI |
Other names 1
- Cornerstone Family Healthcare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2294627 | Cornerstone Family Healthcare | Certificate of waiver | Nov 27, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Pryor, OK
- NPI 1003439258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744329600000",
"number": "1932989662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 E 460",
"city": "PRYOR",
"state": "OK",
"postal_code": "743612150",
"telephone_number": "918-530-9859",
"fax_number": "918-443-3127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 QUAIL DRIVE",
"address_2": "SUITE A",
"city": "PRYOR",
"state": "OK",
"postal_code": "743612150",
"telephone_number": "918-302-1905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORNERSTONE FAMILY HEALTHCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-02",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A",
"authorized_official_last_name": "KERSKER",
"authorized_official_first_name": "RACHEL",
"authorized_official_middle_name": "JOANN",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "918-530-9859",
"authorized_official_credential": "APRN-CNP, FNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1003439258",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cornerstone Family Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Cornerstone Family Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.