KELLY JOY HUNTER CORNELIUS
NPI 1689483687
Physician Assistant - Surgical in Patchogue, NY

Active since January 03, 2025PECOS EnrolledAccepts Medicare Assignment
101 HOSPITAL RD, PATCHOGUE, NY 11772(631) 228-5801 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kelly Joy Hunter Cornelius NPPES

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

KELLY JOY HUNTER CORNELIUS (NPI 1689483687) is an individual surgical provider in Patchogue, New York, licensed in New York (032959) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689483687
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameKELLY JOY HUNTER CORNELIUS
Location Address101 HOSPITAL RDPatchogue, NY 11772-4870
Mailing Address25 Bayview AveEast Setauket, NY 11733-3933 · (631) 260-0652
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
NPI 1689483687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 032959
101 HOSPITAL RD, Patchogue, NY 11772

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kelly Joy Hunter Cornelius 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 ID3072036532
PECOS Enrollment IDI20250326001122
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

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.

Internal Medicine (Critical Care Medicine)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Internal Medicine
101 HOSPITAL RD
PATCHOGUE, NY 11772
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772
Student in an Organized Health Care Education/Training Program
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant
101 HOSPITAL RD
PATCHOGUE, NY 11772
Physician Assistant (Medical)
101 HOSPITAL RD
PATCHOGUE, NY 11772

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 Kelly Joy Cornelius's NPI number?

The NPI number for Kelly Joy Cornelius is 1689483687. It was assigned to this individual provider in the NPPES registry on January 3, 2025.

Where is Kelly Joy Cornelius located?

Kelly Joy Cornelius practices at 101 Hospital Rd, Patchogue, NY 11772. The listed phone number is (631) 228-5801.

What is Kelly Joy Cornelius's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Kelly Joy Cornelius enrolled in Medicare?

Yes. Kelly Joy Cornelius 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.

Is Kelly Joy Cornelius affiliated with any hospitals?

According to CMS data, Kelly Joy Cornelius is affiliated with Long Island Community Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Joy Cornelius was last updated on January 3, 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.