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PENNY S CORNELIUS PA
NPI 1184609331
Physician Assistant in Green Bay, WI

Active since December 09, 2005
2618 FORESTVILLE DR, GREEN BAY, WI 54304(920) 496-1631 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Penny S Cornelius Pa NPPES

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

PENNY S CORNELIUS PA (NPI 1184609331) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (696-023) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1184609331
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePENNY S CORNELIUSCredential: PA
Location Address2618 FORESTVILLE DRGreen Bay, WI 54304-1358
Mailing Address2618 Forestville DrGreen Bay, WI 54304-1358 · (920) 496-1631
Phone(920) 496-1631
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateNovember 11, 2008
✔ NPI 1184609331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 696-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2618 FORESTVILLE DR, Green Bay, WI 54304
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Other Identifiers 1

Medicare UPINS37085

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 Penny Cornelius's NPI number?

The NPI number for Penny Cornelius is 1184609331. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Penny Cornelius located?

Penny Cornelius practices at 2618 Forestville Dr, Green Bay, WI 54304. The listed phone number is (920) 496-1631.

What is Penny Cornelius's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Penny Cornelius was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.