MARISA CHRISTINA CORNEJO MD
NPI 1689178519
Obstetrics & Gynecology in Peoria, AZ
About Marisa Christina Cornejo Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA CHRISTINA CORNEJO MD (NPI 1689178519) is an individual obstetrics & gynecology provider in Peoria, Arizona, licensed in Arizona (77368) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (2018).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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
Marisa Christina Cornejo Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Marisa Cornejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, AZ 85381
- Reassigned Medicare billing, Arizona enrollment
- 6 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 85381 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEORIA, AZ 85381
PEORIA, AZ 85381
PEORIA, AZ 85381
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 Marisa Cornejo's NPI number?
The NPI number for Marisa Cornejo is 1689178519. It was assigned to this individual provider in the NPPES registry on March 23, 2018.
Where is Marisa Cornejo located?
Marisa Cornejo practices at 14155 N 83rd Ave, Peoria, AZ 85381. The listed phone number is (623) 271-8666.
What is Marisa Cornejo's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Marisa Cornejo enrolled in Medicare?
Yes. Marisa Cornejo 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 organization bills Medicare for Marisa Cornejo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Cornejo reassigns Medicare benefits to Star Clinic LLC (Peoria, AZ). The 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 Marisa Cornejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marisa Cornejo accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Marisa Cornejo 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 Marisa Cornejo was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Marisa Christina Cornejo, MD · NPI 1689178519
Obstetrics & Gynecology physician in Peoria, Arizona. Individual provider, active in the CMS NPPES registry since March 23, 2018.
## Identity
- **NPI:** 1689178519 (Entity type: Individual)
- **Enumerated:** March 23, 2018
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 77368 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14155 N 83RD AVE, Peoria, AZ 85381-5639
- **Phone:** (623) 271-8666
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Star Clinic LLC (NPI 1932608106, Peoria, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Icahn School Of Medicine At Mount Sinai, class of 2018
## Record status
- **NPPES last updated:** September 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689178519) · Data from the CMS NPPES public registry.