TIMOTHY NEAL CORNWALL
NPI 1356852164
Nurse Anesthetist, Certified Registered in Spokane, WA

Active since October 19, 2017Accepts Medicare Assignment
800 W 5TH AVE, SPOKANE, WA 99204(509) 473-7626 Get Directions Write a Review

NPPES record last updated: June 10, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 29, 2018, Oct 19, 2017 (2 updates tracked since 2017).

About Timothy Neal Cornwall NPPES

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

TIMOTHY NEAL CORNWALL (NPI 1356852164) is an individual nurse anesthetist, certified registered in Spokane, Washington, licensed in Washington (AP60807265) and active in the NPI registry since October 2017. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1356852164
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTIMOTHY NEAL CORNWALL
Location Address800 W 5TH AVESpokane, WA 99204
Mailing Address8408 E Fleming RdFairfield, WA 99012-9710 · (509) 723-5188
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 19, 2017
Last NPPES UpdateJune 10, 20182 updates tracked since enumeration
✔ NPI 1356852164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in WA · AP60807265
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License RN00168846 (WA)
800 W 5TH AVE, Spokane, WA 99204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Neal Cornwall 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 ID8325307580
PECOS Enrollment IDI20180115000815

Medicare Billing Reassignments

3

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

Anesthesiology
800 W 5TH AVE
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 102 clinicians in this Medicare group
Multi-Specialty
427 S BERNARD ST
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 39 clinicians in this Medicare group
Anesthesiology
1515 E BLACKWOOD LN
Spokane, WA 99223
  • Reassigned Medicare billing, Washington enrollment
  • 38 clinicians in this Medicare group

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 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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
20 services20 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
15 services15 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
11 services11 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

Emergency Medicine (Sports Medicine)
800 W 5TH AVE
SPOKANE, WA 99204
Registered Nurse (Emergency)
800 W 5TH AVE
SPOKANE, WA 99204
Nurse Anesthetist, Certified Registered
800 W 5TH AVE
SPOKANE, WA 99204
Registered Nurse
800 W 5TH AVE
SPOKANE, WA 99204
Internal Medicine
800 W 5TH AVE
SPOKANE, WA 99204
Anesthesiology
800 W 5TH AVE
SPOKANE, WA 99204
Nurse Practitioner
800 W 5TH AVE
SPOKANE, WA 99204
Registered Nurse
800 W 5TH AVE
SPOKANE, WA 99204

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 Timothy Cornwall's NPI number?

The NPI number for Timothy Cornwall is 1356852164. It was assigned to this individual provider in the NPPES registry on October 19, 2017.

Where is Timothy Cornwall located?

Timothy Cornwall practices at 800 W 5th Ave, Spokane, WA 99204. The listed phone number is (509) 473-7626.

What is Timothy Cornwall's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Timothy Cornwall enrolled in Medicare?

Yes. Timothy Cornwall 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.

Which organizations bill Medicare for Timothy Cornwall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Cornwall reassigns Medicare benefits to 3 organizations: Anesthesia Associates, Ps (Spokane, WA), Spokane Eye Clinic Ps (Spokane, WA) and Spokane Outpatient Anesthesia PLLC (Spokane, WA). 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 Timothy Cornwall'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 Timothy Cornwall was last updated on June 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.