Alyssa Lee Ann Cornelius, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3019103 Issued in KY

Practice address

135 Wade Owens Rd N
Stanford, KY 40484

Phone

(606) 669-6006

Fax

(606) 661-0141

NPI assigned

Apr 10, 2023

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Female

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 KY

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cumberland Family Medical Center IncGroup PAC ID 6305947789, 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Cumberland Family Medical Center Inc

  dba Cumberland Family Medical Center

  • Federally Qualified Health Center (FQHC)
  • Burkesville, KY
  • NPI 1306873500
  Medicare reassignment Care Compare group NPD
• James Duncan MD Consulting Service PLLC

  • Internal Medicine Physician
  • Danville, KY
  • NPI 1245830017
  Medicare reassignment NPD
• Cumberland Family Medical Center Inc

  dba Bluegrass Middle Healthy Kids Clinic

  • Federally Qualified Health Center (FQHC)
  • Elizabethtown, KY
  • NPI 1407324759

  Family

  NPD
• Cumberland Family Medical Center Inc

  dba Metcalfe County Middle Healthy Kids Clinic

  • Federally Qualified Health Center (FQHC)
  • Edmonton, KY
  • NPI 1548953672
  NPD
• Cumberland Family Medical Center Inc

  dba First Choice Immediate Care Lincoln

  • Federally Qualified Health Center (FQHC)
  • Stanford, KY
  • NPI 1700628187
  NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1992490502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1080",
            "city": "BURKESVILLE",
            "state": "KY",
            "postal_code": "427171080",
            "telephone_number": "270-858-6655",
            "fax_number": "270-858-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 WADE OWENS RD N",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "40484",
            "telephone_number": "606-669-6006",
            "fax_number": "606-661-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "ALYSSA",
        "middle_name": "LEE ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3019103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100894100",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannah Click, APRN
• Allison Goble Cocanougher, OTD, OTR/L
• Teresa D Coffman, BS
• Colemans Drugstore Inc (Colemans Drug Store)
• Andrew Wayne Cooper, DMD
• Charles Crase, MD
• Cumberland Family Medical Center Inc (Stanford Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Fort Logan Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Lincoln County Middle Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (First Choice Immediate Care Lincoln)

• Family Nurse Practitioner in Stanford, KY
• Providers in Stanford, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.
• 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.

Verify at the official NPI Registry.