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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLEY M CORNELY PMHNP-BC
NPI 1053134742
Nurse Practitioner - Psychiatric/Mental Health in Cherry Hill, NJ

Active since November 01, 2024PECOS Enrolled
11 W ORMOND AVE STE 200C, CHERRY HILL, NJ 08002(856) 595-0675(856) 890-2718 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Jan 12, 2026 (2 updates tracked since 2026).

About Kimberley M Cornely Pmhnp-bc NPPES

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

KIMBERLEY M CORNELY PMHNP-BC (NPI 1053134742) is an individual psychiatric/mental health provider in Cherry Hill, New Jersey, licensed in New Jersey (26NJ15197500) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053134742
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLEY M CORNELYCredential: PMHNP-BC
Location Address11 W ORMOND AVE STE 200CCherry Hill, NJ 08002-3035
Mailing Address11 W Ormond Ave Ste 200cCherry Hill, NJ 08002-3035 · (856) 595-0675 · Fax (856) 890-2718
Phone(856) 595-0675
Fax(856) 890-2718
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 1, 2024
Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration
NPPES CertifiedNovember 2, 2026
✔ NPI 1053134742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ15197500
11 W ORMOND AVE STE 200C, Cherry Hill, NJ 08002
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberley M Athey

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberley M Cornely Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709300577
PECOS Enrollment IDI20250414002786
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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberley Cornely reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Insite Medical Nj PA
5.4 mi
Behavioral Neurology & Neuropsychiatry
525 ROUTE 73 N STE 100
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 28 clinicians in this Medicare group
NPI 1538807011 (833) 494-6724

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kimberley Cornely's NPI number?

The NPI number for Kimberley Cornely is 1053134742. It was assigned to this individual provider in the NPPES registry on November 1, 2024. The provider is also known as Kimberley M Athey.

Where is Kimberley Cornely located?

Kimberley Cornely practices at 11 W Ormond Ave Ste 200C, Cherry Hill, NJ 08002. The listed phone number is (856) 595-0675.

What is Kimberley Cornely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberley Cornely enrolled in Medicare?

Yes. Kimberley Cornely is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kimberley Cornely's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberley Cornely reassigns Medicare benefits to Insite Medical Nj PA (Marlton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberley Cornely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kimberley Cornely was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.