CAROL TERESE CORNETT FNP-C
NPI 1639347594
Nurse Practitioner - Family in Smithfield, KY

Active since February 13, 2008PECOS EnrolledAccepts Medicare Assignment
111 COAKLEY LN, SMITHFIELD, KY 40068(502) 544-8704 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol Terese Cornett Fnp-c NPPES

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

CAROL TERESE CORNETT FNP-C (NPI 1639347594) is an individual family provider in Smithfield, Kentucky, licensed in Kentucky (3005460) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1639347594
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAROL TERESE CORNETTCredential: FNP-C
Location Address111 COAKLEY LNSmithfield, KY 40068-7832
Mailing Address111 Coakley LnSmithfield, KY 40068-7832 · (502) 544-8704
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 13, 2008
Last NPPES UpdateJune 8, 2022
NPPES CertifiedJune 3, 2022
✔ NPI 1639347594 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 KY · 3005460
111 COAKLEY LN, Smithfield, KY 40068

Other Names 1

Former Name (1)Carol Mitoraj

Other Identifiers 1

Medicaid7100075620KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Carol Terese Cornett Fnp-c 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 ID8628145042
PECOS Enrollment IDI20080925000595, I20221213001555, I20230530002476
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

5

Medicare enrollment records show Carol Cornett reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
3058C CHARLES TOWN RD
Kearneysville, WV 25430
  • Reassigned Medicare billing, West Virginia enrollment
  • 25 clinicians in this Medicare group
Addiction Medicine
101 CENTERPOINT DR STE 105
Middletown, CT 06457
  • Reassigned Medicare billing, Connecticut enrollment
  • 15 clinicians in this Medicare group
Addiction Medicine
101 CENTERPOINT DR STE 105
Middletown, CT 06457
  • Reassigned Medicare billing, Kentucky, Maine, New Hampshire and West Virginia enrollments
  • 22 clinicians in this Medicare group
Psychiatry
3 EXECUTIVE PARK DR # 201A
Bedford, NH 03110
  • Reassigned Medicare billing, New Hampshire enrollment
  • 8 clinicians in this Medicare group
Pursuecare Connecticut PC
  • Reassigned Medicare billing, Connecticut enrollment
  • 15 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40068 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

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

Nurse Practitioner (Family)
111 COAKLEY LN
SMITHFIELD, KY 40068

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 Carol Cornett's NPI number?

The NPI number for Carol Cornett is 1639347594. It was assigned to this individual provider in the NPPES registry on February 13, 2008. The provider is also known as Carol Mitoraj.

Where is Carol Cornett located?

Carol Cornett practices at 111 Coakley Ln, Smithfield, KY 40068. The listed phone number is (502) 544-8704.

What is Carol Cornett's specialty?

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

Is Carol Cornett enrolled in Medicare?

Yes. Carol Cornett 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 Carol Cornett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Cornett reassigns Medicare benefits to 5 organizations: Pai Medical Wv PLLC (Kearneysville, WV), Pai Ct PLLC (Middletown, CT), Pursuecare, LLC (Middletown, CT), Pursuecare Nh LLC (Bedford, NH) and Pursuecare Connecticut PC (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 Carol Cornett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Cornett accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna HealthCare of Florida, Inc., Cigna Healthcare and UnitedHealthcare list Carol Cornett 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 Carol Cornett was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.