JACKSON TULEY CORNELISON
NPI 1154929131
Nurse Practitioner - Acute Care in Birmingham, AL

Q: What is Jackson Cornelison's NPI number?

The NPI number for Jackson Cornelison is 1154929131. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Q: What is Jackson Cornelison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Active since October 13, 2020PECOS EnrolledAccepts Medicare Assignment

619 19TH ST S, BIRMINGHAM, AL 35249(205) 934-4011 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2022, Oct 13, 2020 (2 updates tracked since 2020).

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About Jackson Tuley Cornelison NPPES

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

JACKSON TULEY CORNELISON (NPI 1154929131) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-160696) and active in the NPI registry since October 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of University Of Alabama School Of Medicine (2020).

NPPES Registry Identity

NPI1154929131

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameJACKSON TULEY CORNELISON

Location Address619 19TH ST SBirmingham, AL 35249-2338

Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701

Phone(205) 934-4011

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2020

Enumeration DateOctober 13, 2020

Last NPPES UpdateJune 30, 20232 updates tracked since enumeration

NPPES CertifiedAugust 15, 2022

✔ NPI 1154929131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in AL · 1-160696

Also ListedFamily MedicineTaxonomy 207Q00000X · License 1-160696 (AL)

619 19TH ST S, Birmingham, AL 35249

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Secondary Practice Location 1

Location 11201 11th Ave SBirmingham, AL 35205-3423 · Phone (205) 930-7790

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Jackson Tuley Cornelison 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 ID5092126797

PECOS Enrollment IDI20201202000993

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 4

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.

227 services192 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

50 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services36 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35249 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.

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.

GARRETT WALKER COLBY MD

Radiology (Diagnostic Radiology)

619 19TH ST S, JT N342
BIRMINGHAM, AL 35249

Jefferson County (205) 934-3108

SHANA MONIKA MACHADO D.O.

Internal Medicine (Nephrology)