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CARISSA R CORNELL NP
NPI 1629323605
Nurse Practitioner in Bismarck, ND

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment
1221 W DIVIDE AVE STE 202, BISMARCK, ND 58501(877) 522-1275(833) 888-7145 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Nov 12, 2024, Jul 26, 2018 (3 updates tracked since 2018).

About Carissa R Cornell Np NPPES

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

CARISSA R CORNELL NP (NPI 1629323605) is an individual nurse practitioner in Bismarck, North Dakota, licensed in North Dakota (R34040) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1629323605
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARISSA R CORNELLCredential: NP
Location Address1221 W DIVIDE AVE STE 202Bismarck, ND 58501-1224
Mailing Address500 Sw 7th St Ste A205Renton, WA 98057-2983 · (509) 222-1275 · Fax (509) 491-3031
Phone(877) 522-1275
Fax(833) 888-7145
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 17, 2012
Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1629323605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ND · R34040
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1221 W DIVIDE AVE STE 202, Bismarck, ND 58501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company and more.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

Carissa R Cornell Np 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 ID5092941229
PECOS Enrollment IDI20131119000019, I20191014001469, I20191024003455, I20200526002748, I20220401001283, I20231129003509, I20240627003499, I20260421001193
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.

Medicare Billing Reassignments

3

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

Sanford Bismarck
2.3 mi
Multi-Specialty
565 S 7TH ST
Bismarck, ND 58504
  • Reassigned Medicare billing, North Dakota enrollment
  • 779 clinicians in this Medicare group
NPI 1811941172 (701) 323-5550
Ideal Option, PLLC
877 mi
Clinic/Center
8508 W GAGE BLVD STE A101
Kennewick, WA 99336
  • Reassigned Medicare billing, Arkansas, Maryland, Montana, North Dakota, New Mexico, Oregon and Washington enrollments
  • 32 clinicians in this Medicare group
NPI 1457788275 (877) 522-1275
Ideal Telemedicine Services, LLC
1,007 mi
Clinic/Center
500 SW 7TH ST STE A205
Renton, WA 98057
  • Reassigned Medicare billing, Arkansas, District of Columbia, Maryland, Montana, North Dakota, New Mexico, Oregon and Washington enrollments
  • 32 clinicians in this Medicare group
NPI 1346754868 (877) 522-1275

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 8

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
175 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
141 services59 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
114 services48 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
78 services24 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
63 services25 patients
Measurement of alcohol level in breath specimen 82075
Measurement of alcohol level in a breath specimen is a non-invasive procedure to estimate blood alcohol content. It involves blowing into a device, called a breathalyzer, which analyzes the alcohol concentration in your breath. It helps determine if alcohol use is within legal and safe limits.
62 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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 Carissa Cornell's NPI number?

The NPI number for Carissa Cornell is 1629323605. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Where is Carissa Cornell located?

Carissa Cornell practices at 1221 W Divide Ave Ste 202, Bismarck, ND 58501. The listed phone number is (877) 522-1275.

What is Carissa Cornell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carissa Cornell enrolled in Medicare?

Yes. Carissa Cornell 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 Carissa Cornell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Cornell reassigns Medicare benefits to 3 organizations: Sanford Bismarck (Bismarck, ND), Ideal Option, PLLC (Kennewick, WA) and Ideal Telemedicine Services, LLC (Renton, 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 Carissa Cornell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carissa Cornell accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Health Advantage and Kaiser Permanente and 8 other insurers list Carissa 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 Carissa Cornell was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.