JEFFERY JAMES CORNELL PA-C
NPI 1669722047
Physician Assistant - Medical in Ann Arbor, MI

Q: What is Jeffery Cornell's NPI number?

The NPI number for Jeffery Cornell is 1669722047. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Q: What is Jeffery Cornell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffery Cornell was last updated on September 13, 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.

Active since September 13, 2012PECOS Enrolled

2000 GREEN RD, STE 300, ANN ARBOR, MI 48105(734) 995-3764(734) 995-2913 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jeffery James Cornell Pa-c NPPES

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

JEFFERY JAMES CORNELL PA-C (NPI 1669722047) is an individual medical provider in Ann Arbor, Michigan, licensed in Michigan (5601006474) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669722047

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJEFFERY JAMES CORNELLCredential: PA-C

Location Address2000 GREEN RD, STE 300Ann Arbor, MI 48105-1598

Mailing Address2333 Biddle AveWyandotte, MI 48192-4668 · (734) 246-7242 · Fax (734) 246-7117

Phone(734) 995-3764

Fax(734) 995-2913

Sole ProprietorNo

Enumeration DateSeptember 13, 2012

✔ NPI 1669722047 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 · 5601006474

2000 GREEN RD, Ann Arbor, MI 48105

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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)

Jeffery James Cornell Pa-c 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.

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.

JOHN C BASELLE MD

Emergency Medicine

2000 GREEN RD, SUITE 100
ANN ARBOR, MI 48105

Washtenaw County (734) 995-3764

SHEENA MARIE JAMES

Nurse Practitioner (Family)

2000 GREEN RD, SUITE 300
ANN ARBOR, MI 48105

Washtenaw County (734) 995-3764

DR. BRIAN WILLIAM ALLEN JR. MD

Emergency Medicine

2000 GREEN RD, #300
ANN ARBOR, MI 48105

Washtenaw County (800) 466-3764

MRS. TRACI LYNN GROSSMAN PA-C

Physician Assistant

2000 GREEN RD
ANN ARBOR, MI 48105

Washtenaw County (734) 995-2913

BEVERLY TESTERMAN NP

Nurse Practitioner (Family)

2000 GREEN RD
ANN ARBOR, MI 48105

Washtenaw County (734) 686-6362

DR. REBECCA LYNN PREPEJCHAL MD

Emergency Medicine

2000 GREEN RD, SUITE 300
ANN ARBOR, MI 48105

Washtenaw County (734) 686-6361

AAZAM HALEEM M.D.

Emergency Medicine

2000 GREEN RD
ANN ARBOR, MI 48105

Washtenaw County (734) 995-3764

MS. MARIANNE BONOMO NP

Nurse Practitioner (Family)

2000 GREEN RD, SUITE 300
ANN ARBOR, MI 48105

Washtenaw County (734) 995-3764

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 Jeffery Cornell's NPI number?

The NPI number for Jeffery Cornell is 1669722047. It was assigned to this individual provider in the NPPES registry on September 13, 2012.

Where is Jeffery Cornell located?

Jeffery Cornell practices at 2000 Green Rd Ste 300, Ann Arbor, MI 48105. The listed phone number is (734) 995-3764.

What is Jeffery Cornell's specialty?

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

Is Jeffery Cornell enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeffery Cornell was last updated on September 13, 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.