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

MRS. SHELLIA ANNE KORNEGAY APN
NPI 1124258553
Nurse Practitioner - Family in White Hall, AR

Active since July 20, 2009PECOS EnrolledAccepts Medicare Assignment
1600 W HOLLAND AVE STE 202, WHITE HALL, AR 71602(870) 619-4451(870) 247-7089 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Shellia Anne Kornegay Apn NPPES

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

MRS. SHELLIA ANNE KORNEGAY APN (NPI 1124258553) is an individual family provider in White Hall, Arkansas, licensed in Arkansas (AO3247) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pine Bluff, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1124258553
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHELLIA ANNE KORNEGAYCredential: APN
Location Address1600 W HOLLAND AVE STE 202White Hall, AR 71602-9221
Mailing AddressPo Box 497Augusta, AR 72006-0497 · (870) 347-2534
Fax(870) 247-7089
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 20, 2009
Last NPPES UpdateJuly 9, 2026
NPPES CertifiedJuly 9, 2026
NPI 1124258553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · AO3247
1600 W HOLLAND AVE STE 202, White Hall, AR 71602

Secondary Practice Location 1

Location 11515 west 42nd streetPine Bluff, AR 71602 · Phone (870) 541-7111

Other Identifiers 1

Medicaid180128758AR

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shellia Anne Kornegay Apn 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 ID1456492909
PECOS Enrollment IDI20100106000761
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
102 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services69 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
60 services29 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
38 services29 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
33 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71602 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
1600 W HOLLAND AVE STE 202
WHITE HALL, AR 71602
Family Medicine
1600 W HOLLAND AVE STE 202
WHITE HALL, AR 71602
Family Medicine
1600 W HOLLAND AVE STE 202
WHITE HALL, AR 71602
Nurse Practitioner (Family)
1600 W HOLLAND AVE STE 202
WHITE HALL, AR 71602

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 Shellia Kornegay's NPI number?

The NPI number for Shellia Kornegay is 1124258553. It was assigned to this individual provider in the NPPES registry on July 20, 2009.

Where is Shellia Kornegay located?

Shellia Kornegay practices at 1600 W Holland Ave Ste 202, White Hall, AR 71602. The listed phone number is (870) 619-4451.

What is Shellia Kornegay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shellia Kornegay enrolled in Medicare?

Yes. Shellia Kornegay 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.

What insurance does Shellia Kornegay accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Shellia Kornegay 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 Shellia Kornegay was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.