MR. WILLIAM LANE KORNEGAY APRN
NPI 1366160277
Nurse Practitioner - Psychiatric/Mental Health in New London, CT
About Mr. William Lane Kornegay Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WILLIAM LANE KORNEGAY APRN (NPI 1366160277) is an individual psychiatric/mental health provider in New London, Connecticut, licensed in Connecticut (2022030521) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted Insurance
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
Mr. William Lane Kornegay Aprn 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.
Medicare Billing Reassignments
2Medicare enrollment records show William Kornegay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New London, CT 06320
- Reassigned Medicare billing, Connecticut enrollment
- 12 clinicians in this Medicare group
Danielson, CT 06239
- Reassigned Medicare billing, Connecticut enrollment
- 390 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW LONDON, CT 06320
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 William Kornegay's NPI number?
The NPI number for William Kornegay is 1366160277. It was assigned to this individual provider in the NPPES registry on August 16, 2022.
Where is William Kornegay located?
William Kornegay practices at 21 Montauk Ave, New London, CT 06320. The listed phone number is (860) 439-6400.
What is William Kornegay's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is William Kornegay enrolled in Medicare?
Yes. William Kornegay 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 William Kornegay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), William Kornegay reassigns Medicare benefits to 2 organizations: Sound Community Services, Inc. (New London, CT) and Step Up Care PC LLC (Danielson, CT). 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 William Kornegay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does William Kornegay accept?
Health plans from Anthem Blue Cross and Blue Shield list William Kornegay 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.
When was this NPI record last updated?
The NPPES record for William Kornegay was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mr. William Lane Kornegay, APRN · NPI 1366160277
Psychiatric/Mental Health physician in New London, Connecticut. Individual provider, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1366160277 (Entity type: Individual)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2022030521 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21 MONTAUK AVE, New London, CT 06320-4906
- **Phone:** (860) 439-6400 · **Fax:** (860) 390-1463
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sound Community Services, Inc. (NPI 1396700886, New London, CT); Step Up Care PC LLC (NPI 1154884740, Danielson, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** February 6, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366160277) · Data from the CMS NPPES public registry.