KATRINA KORNACK FNP-BC
NPI 1053156554
Nurse Practitioner - Family in Fairfax Station, VA
About Katrina Kornack Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATRINA KORNACK FNP-BC (NPI 1053156554) is an individual family provider in Fairfax Station, Virginia, licensed in Virginia (26NJ15084800) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Katrina Kornack Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Katrina Kornack reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 243 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 86 clinicians in this Medicare group
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 22039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAIRFAX STATION, VA 22039
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 Katrina Kornack's NPI number?
The NPI number for Katrina Kornack is 1053156554. It was assigned to this individual provider in the NPPES registry on June 26, 2024.
Where is Katrina Kornack located?
Katrina Kornack practices at 9009 Silverbrook Rd, Fairfax Station, VA 22039. The listed phone number is (866) 389-2727.
What is Katrina Kornack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Katrina Kornack enrolled in Medicare?
Yes. Katrina Kornack 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 organizations bill Medicare for Katrina Kornack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Kornack reassigns Medicare benefits to 2 organizations: Minuteclinic Diagnostic Of New Jersey LLC (Sewell, NJ) and Minuteclinic Primary Care New Jersey LLC (Sewell, NJ). Each 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 Katrina Kornack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katrina Kornack accept?
Health plans from Oscar Health list Katrina Kornack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Katrina Kornack was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Katrina Kornack, FNP-BC · NPI 1053156554
Family physician in Fairfax Station, Virginia. Individual provider, active in the CMS NPPES registry since June 26, 2024.
## Identity
- **NPI:** 1053156554 (Entity type: Individual)
- **Enumerated:** June 26, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ15084800 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9009 SILVERBROOK RD, Fairfax Station, VA 22039-2607
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Minuteclinic Diagnostic Of New Jersey LLC (NPI 1053353615, Sewell, NJ); Minuteclinic Primary Care New Jersey LLC (NPI 1174331524, Sewell, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1053156554) · Data from the CMS NPPES public registry.