KATHRYN DAVENPORT CORNELL A.P.R.N.
NPI 1588030134
Nurse Practitioner - Family in Independence, KS

Active since August 18, 2015PECOS Enrolled
122 W MYRTLE ST, INDEPENDENCE, KS 67301(620) 577-4062(620) 577-4064 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathryn Davenport Cornell A.p.r.n. NPPES

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

KATHRYN DAVENPORT CORNELL A.P.R.N. (NPI 1588030134) is an individual family provider in Independence, Kansas, licensed in Kansas (53-76887-072) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Coffeyville.

NPPES Registry Identity

NPI1588030134
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN DAVENPORT CORNELLCredential: A.P.R.N.
Location Address122 W MYRTLE STIndependence, KS 67301-3317
Mailing Address800 W Laurel StIndependence, KS 67301-3211 · (620) 332-3280 · Fax (620) 332-3281
Fax(620) 577-4064
Sole ProprietorNo
Enumeration DateAugust 18, 2015
Last NPPES UpdateNovember 20, 2018
NPI 1588030134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KS · 53-76887-072
Also ListedRegistered NurseTaxonomy 163W00000X · License 13-102368-072 (KS)
122 W MYRTLE ST, Independence, KS 67301

Secondary Practice Location 1

Location 1801 W 8th StCoffeyville, KS 67337-4109 · Phone (620) 688-6566

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kathryn Davenport Cornell A.p.r.n. 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 67301 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
70%1,080 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
45%33 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
78%342 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
57%342 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers26 claims65 services$5.39 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims32 services$3.02 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$19.80 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier16 claims16 services$7.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers42 claims42 services$113.64 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
3 suppliers28 claims28 services$36.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kathryn Cornell's NPI number?

The NPI number for Kathryn Cornell is 1588030134. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Kathryn Cornell located?

Kathryn Cornell practices at 122 W Myrtle St, Independence, KS 67301. The listed phone number is (620) 577-4062.

What is Kathryn Cornell's specialty?

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

Is Kathryn Cornell enrolled in Medicare?

Yes. Kathryn Cornell is registered in the Medicare PECOS enrollment system.

What insurance does Kathryn Cornell accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Medica and UnitedHealthcare list Kathryn Cornell 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 Kathryn Cornell was last updated on November 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.