KEISHA ABRAHAM-CORNELY
NPI 1396400040
Nurse Practitioner - Family in Bronx, NY

Q: What is Keisha Abraham-cornely's NPI number?

The NPI number for Keisha Abraham-cornely is 1396400040. It was assigned to this individual provider in the NPPES registry on November 7, 2021.

Q: What is Keisha Abraham-cornely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 07, 2021PECOS Enrolled

1650 GRAND CONCOURSE, BRONX, NY 10457(914) 562-3090 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Keisha Abraham-cornely NPPES

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

KEISHA ABRAHAM-CORNELY (NPI 1396400040) is an individual family provider in Bronx, New York, licensed in New York (347349) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396400040

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKEISHA ABRAHAM-CORNELY

Location Address1650 GRAND CONCOURSEBronx, NY 10457-7606

Mailing Address1650 Grand Ave Fl 6Bronx, NY 10453-7710

Phone(914) 562-3090

Sole ProprietorNo

Enumeration DateNovember 7, 2021

NPPES CertifiedNovember 7, 2021

✔ NPI 1396400040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 347349

1650 GRAND CONCOURSE, Bronx, NY 10457

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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 (PECOS)

Keisha Abraham-cornely is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10457 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.

CASSIE LAUREN GREEN M.S., CCC-SLP

Speech-Language Pathologist