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MRS. ROXANNE KAY CORNELIUS PA-C
NPI 1467798231
Physician Assistant - Medical in Grand Rapids, MI

Active since December 21, 2012
555 MIDTOWNE ST NE, SUITE 110, GRAND RAPIDS, MI 49503(616) 588-8880 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Roxanne Kay Cornelius Pa-c NPPES

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

MRS. ROXANNE KAY CORNELIUS PA-C (NPI 1467798231) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601003078) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1467798231
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ROXANNE KAY CORNELIUSCredential: PA-C
Location Address555 MIDTOWNE ST NE, SUITE 110Grand Rapids, MI 49503-5729
Mailing Address8849 Tamarisk CircleRichland, MI 49083 · (269) 501-3143
Phone(616) 588-8880
Sole ProprietorYes
Enumeration DateDecember 21, 2012
✔ NPI 1467798231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601003078
555 MIDTOWNE ST NE, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES 19

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

BRADLEY BENGTSON, M.D. PC
Plastic Surgery
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Kent County (616) 588-8880
OAM SURGERY CENTER AT MIDTOWNE, LLC
Clinic/Center (Ambulatory Surgical)
555 MIDTOWNE ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Kent County (616) 552-5000
DIPA SUMAN PATEL MD
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Kent County (616) 248-8864
MICHELLE MIZE EMERY MD
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Kent County (616) 248-8864
MICHELLE A KLYN MD
Obstetrics & Gynecology
555 MIDTOWNE ST NE, STE 450
GRAND RAPIDS, MI 49503
Kent County (616) 588-1200
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 302
GRAND RAPIDS, MI 49503
Kent County (616) 391-3315
PENNANT PHYSICIAN SERVICES
Pediatrics (Pediatric Cardiology)
555 MIDTOWNE ST NE, SUITE 310
GRAND RAPIDS, MI 49503
Kent County (616) 252-4765
DR. DAVID J BIELEMA MD
Orthopaedic Surgery
555 MIDTOWNE ST NE, SUITE 105
GRAND RAPIDS, MI 49503
Kent County (616) 459-7101

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 Roxanne Cornelius's NPI number?

The NPI number for Roxanne Cornelius is 1467798231. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Where is Roxanne Cornelius located?

Roxanne Cornelius practices at 555 Midtowne St NE Suite 110, Grand Rapids, MI 49503. The listed phone number is (616) 588-8880.

What is Roxanne Cornelius's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Roxanne Cornelius was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.