GINA CORNWALL NP
NPI 1225636749
Nurse Practitioner - Psychiatric/Mental Health in Amityville, NY

Q: What is Gina Cornwall's NPI number?

The NPI number for Gina Cornwall is 1225636749. It was assigned to this individual provider in the NPPES registry on October 16, 2020.

Q: What is Gina Cornwall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Gina Cornwall was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 16, 2020PECOS EnrolledAccepts Medicare Assignment

400 SUNRISE HWY, AMITYVILLE, NY 11701(631) 264-4000 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Gina Cornwall Np NPPES

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

GINA CORNWALL NP (NPI 1225636749) is an individual psychiatric/mental health provider in Amityville, New York, licensed in New York (F403129-01) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2020).

NPPES Registry Identity

NPI1225636749

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameGINA CORNWALLCredential: NP

Location Address400 SUNRISE HWYAmityville, NY 11701-2508

Mailing Address337 S 12th StLindenhurst, NY 11757-4519 · (631) 455-6730

Phone(631) 264-4000

Sole ProprietorYes

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2020

Enumeration DateOctober 16, 2020

NPPES CertifiedOctober 16, 2020

✔ NPI 1225636749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · F403129-01

400 SUNRISE HWY, Amityville, NY 11701

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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

Gina Cornwall Np 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 ID1052856374

PECOS Enrollment IDI20240711000924

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11701 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

VICTORIA LYN SPAHN

Counselor (Professional)