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MRS. CORNELIA M. MCCULLOUGH ARNP
NPI 1316191745
Nurse Practitioner in Jacksonville, FL

Active since November 12, 2008PECOS EnrolledAccepts Medicare Assignment
81.9/100
CMS Quality Rating
1255 LILA ST, UFJAX - LEM TURNER FAMILY MEDICINE, JACKSONVILLE, FL 32208(904) 383-1001(904) 244-5791 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Cornelia M. Mccullough Arnp NPPES

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

MRS. CORNELIA M. MCCULLOUGH ARNP (NPI 1316191745) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (ARNP3228512) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of University Of South Carolina School Of Medicine (1993).

NPPES Registry Identity

NPI1316191745
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. CORNELIA M. MCCULLOUGHCredential: ARNP
Location Address1255 LILA ST, UFJAX - LEM TURNER FAMILY MEDICINEJacksonville, FL 32208-3550
Mailing AddressPo Box 44008, Ufjp - Provider EnrollmentJacksonville, FL 32231-4008 · (904) 244-3199 · Fax (904) 244-3425
Phone(904) 383-1001
Fax(904) 244-5791
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1993
Enumeration DateNovember 12, 2008
Last NPPES UpdateMay 26, 2010
✔ NPI 1316191745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP3228512
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1255 LILA ST, Jacksonville, FL 32208
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Other Identifiers 2

Medicaid0020486-00FL
Medicare PINE4646YFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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. Cornelia M. Mccullough Arnp 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 ID1557490042
PECOS Enrollment IDI20100520000969
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 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.
105 services55 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100001
Location655 W 8th StJacksonville, FL 32209 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32208 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

81.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability100
Improvement Activities40
Cost59.59

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%40 patients5/55-star benchmark: 100%
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 14

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

DR. MARCIA WAYNE FUNDERBURK M.D.
Family Medicine
1255 LILA ST, UFJP LEM TURNER FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32208
Duval County (904) 244-5802
MS. ILONA SUZANNE FENYO-MORALES PA-C
Physician Assistant
1255 LILA ST, UFJP LEM TURNER FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32208
Duval County (904) 244-5700
DR. DONALD HOWARD AUERBACH DO
Family Medicine
1255 LILA ST
JACKSONVILLE, FL 32208
Duval County (904) 383-1930
MR. LEONARD JAY HERRING PA-C
Physician Assistant
1255 LILA ST, UFJP LEM TURNER FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32208
Duval County (904) 244-5700
DR. JOHN ANTHONY GRISNIK M.D.
Family Medicine
1255 LILA ST, UFJP LEM TURNER FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32208
Duval County (904) 244-5700
BARTHOLOMEW NDIFE
Nurse Practitioner
1255 LILA ST
JACKSONVILLE, FL 32208
Duval County (904) 383-1001
UNIVERSITY OF FLORIDA JACKSONVILLE PHYSICIANS INC
Family Medicine
1255 LILA ST, UFJP LEM TURNER FAMILY PRACTICE CENTER
JACKSONVILLE, FL 32208
Duval County (904) 383-1001
HEATHER VOGEL WILLIAMS M.D.
Family Medicine
1255 LILA ST
JACKSONVILLE, FL 32208
Duval County (904) 383-1001

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 Cornelia Mccullough's NPI number?

The NPI number for Cornelia Mccullough is 1316191745. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Cornelia Mccullough located?

Cornelia Mccullough practices at 1255 Lila St Ufjax - Lem Turner Family Medicine, Jacksonville, FL 32208. The listed phone number is (904) 383-1001.

What is Cornelia Mccullough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Cornelia Mccullough enrolled in Medicare?

Yes. Cornelia Mccullough 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 Cornelia Mccullough accept?

Health plans from AvMed list Cornelia Mccullough 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.

Is Cornelia Mccullough affiliated with any hospitals?

According to CMS data, Cornelia Mccullough is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Cornelia Mccullough was last updated on May 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.