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DR. TORI ALYSSA KORNELSEN MB BCH BAO
NPI 1023740081
Student in an Organized Health Care Education/Training Program in Puyallup, WA

Active since June 28, 2022PECOS Enrolled
1322 3RD ST SE STE 240, PUYALLUP, WA 98372(235) 697-1420 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tori Alyssa Kornelsen Mb Bch Bao NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TORI ALYSSA KORNELSEN MB BCH BAO (NPI 1023740081) is an individual student in an organized health care education/training program in Puyallup, Washington and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023740081
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. TORI ALYSSA KORNELSENCredential: MB BCH BAO
Location Address1322 3RD ST SE STE 240Puyallup, WA 98372-3771
Mailing Address1322 3rd St Se Ste 240Puyallup, WA 98372-3771
Phone(235) 697-1420
Sole ProprietorNo
Enumeration DateJune 28, 2022
NPPES CertifiedJune 28, 2022
✔ NPI 1023740081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1322 3RD ST SE STE 240, Puyallup, WA 98372
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tori Alyssa Kornelsen Mb Bch Bao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXINNA CIANA JOHNS M.D.
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-5757
DR. STEPHEN ROBERT DURKEE JR. MD
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
MATHEW DICKSON DO
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
BRIAN DAVID LAY D.O.
Family Medicine
1322 3RD ST SE STE 240, MS 1322-2-EFM
PUYALLUP, WA 98372
Pierce County (253) 697-1420
DR. KEANNA G WORTHY DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
KHUSHBU SODHI ATWAL DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
ROBERT THOMAS MEYER
Student in an Organized Health Care Education/Training Program
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420
SARAH HAMPTON DO
Family Medicine
1322 3RD ST SE STE 240
PUYALLUP, WA 98372
Pierce County (253) 697-1420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tori Kornelsen's NPI number?

The NPI number for Tori Kornelsen is 1023740081. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Tori Kornelsen located?

Tori Kornelsen practices at 1322 3rd St SE Ste 240, Puyallup, WA 98372. The listed phone number is (235) 697-1420.

What is Tori Kornelsen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tori Kornelsen enrolled in Medicare?

Yes. Tori Kornelsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tori Kornelsen was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.