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KIMBERLY BEASLEY CORNELISON CRNP
NPI 1154715662
Nurse Practitioner - Primary Care in Birmingham, AL

Active since March 23, 2015PECOS Enrolled
3056 HEALTHY WAY STE 100, BIRMINGHAM, AL 35243(205) 995-9909(205) 930-2063 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2018, Jul 11, 2018, Apr 26, 2017 (3 updates tracked since 2017).

About Kimberly Beasley Cornelison Crnp NPPES

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

KIMBERLY BEASLEY CORNELISON CRNP (NPI 1154715662) is an individual primary care provider in Birmingham, Alabama, licensed in Alabama (1-131123) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1154715662
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKIMBERLY BEASLEY CORNELISONCredential: CRNP
Location Address3056 HEALTHY WAY STE 100Birmingham, AL 35243
Mailing Address3056 Healthy Way Ste 100Birmingham, AL 35243-2435 · (205) 995-9909 · Fax (205) 930-2063
Phone(205) 995-9909
Fax(205) 930-2063
Sole ProprietorNo
Enumeration DateMarch 23, 2015
Last NPPES UpdateJune 30, 20233 updates tracked since enumeration
✔ NPI 1154715662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in AL · 1-131123
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1-131123 (AL)
3056 HEALTHY WAY STE 100, Birmingham, AL 35243
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Other Names 1

Former Name (1)Kimberly Beasley

Secondary Practice Location 1

Location 1500 22nd St SBirmingham, AL 35233-3110 · Phone (205) 801-5251

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Beasley Cornelison Crnp 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kimberly Cornelison reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vincentian Physician Services LLC
6.2 mi
Family Medicine
810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205
  • Reassigned Medicare billing, Alabama enrollment
  • 263 clinicians in this Medicare group
NPI 1851698310 (205) 930-2346
University Of Alabama Health Services Foundation, PC
6.5 mi
Pediatrics
1600 7TH AVE S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1356377576 (205) 939-9100
Baptist Health Centers, LLC
37 mi
Family Medicine
320 COOSA ST E
Talladega, AL 35160
  • Reassigned Medicare billing, Alabama enrollment
  • 430 clinicians in this Medicare group
NPI 1184688244 (256) 362-3636

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

Areas of Expertise CMS Part B claims 2

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.

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.
35 services34 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.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35243 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,463 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
37%214 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%137 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%767 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%767 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
40%767 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
50%767 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KRISTINE DEE WESLEY MSN, BSN, RN
Nurse Practitioner (Acute Care)
3056 HEALTHY WAY STE 100
BIRMINGHAM, AL 35243
Jefferson County (205) 930-2925
STV CARDIOTHORACIC SURGEONS LLC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3056 HEALTHY WAY STE 100
BIRMINGHAM, AL 35243
Jefferson County (205) 930-2925
DR. JOHN STEPHEN THURBER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3056 HEALTHY WAY STE 100
BIRMINGHAM, AL 35243
Jefferson County (205) 930-2925
CARRIE BLACK HUNER M.D.
Family Medicine
3056 HEALTHY WAY STE 100
BIRMINGHAM, AL 35243
Jefferson County (205) 995-9909

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 Kimberly Cornelison's NPI number?

The NPI number for Kimberly Cornelison is 1154715662. It was assigned to this individual provider in the NPPES registry on March 23, 2015. The provider is also known as Kimberly Beasley.

Where is Kimberly Cornelison located?

Kimberly Cornelison practices at 3056 Healthy Way Ste 100, Birmingham, AL 35243. The listed phone number is (205) 995-9909.

What is Kimberly Cornelison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kimberly Cornelison enrolled in Medicare?

Yes. Kimberly Cornelison is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Cornelison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Cornelison reassigns Medicare benefits to 3 organizations: Vincentian Physician Services LLC (Birmingham, AL), University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Baptist Health Centers, LLC (Talladega, AL). 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 Kimberly Cornelison'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 Kimberly Cornelison was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.