MARLENE CORNELIUS NP
NPI 1699021451
Nurse Practitioner - Family in Houston, TX

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment
10125 KATY FWY STE 106, HOUSTON, TX 77024(713) 486-1330 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlene Cornelius Np NPPES

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

MARLENE CORNELIUS NP (NPI 1699021451) is an individual family provider in Houston, Texas, licensed in Texas (652859) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2012).

NPPES Registry Identity

NPI1699021451
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARLENE CORNELIUSCredential: NP
Location Address10125 KATY FWY STE 106Houston, TX 77024-1287
Mailing Address18911 Windsor Lakes DrHouston, TX 77094-3306 · (832) 275-3390
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2012
Enumeration DateJuly 31, 2012
Last NPPES UpdateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
NPI 1699021451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 652859
Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License 652859 (TX)
10125 KATY FWY STE 106, Houston, TX 77024

Other Identifiers 1

Other652859TX · State License

Accepted Insurance

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

Marlene Cornelius 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 ID6608094677
PECOS Enrollment IDI20231228001286
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.

Areas of Expertise CMS Part B claims 4

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.

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.
30 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
16 services12 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 8

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

Surgery
10125 KATY FWY STE 106
HOUSTON, TX 77024
Dietitian, Registered
10125 KATY FWY STE 106
HOUSTON, TX 77024
Surgery
10125 KATY FWY STE 106
HOUSTON, TX 77024
Surgery
10125 KATY FWY STE 106
HOUSTON, TX 77024
Nurse Practitioner (Adult Health)
10125 KATY FWY STE 106
HOUSTON, TX 77024
General Practice
10125 KATY FWY STE 106
HOUSTON, TX 77024
General Practice
10125 KATY FWY STE 106
HOUSTON, TX 77024
Physician Assistant
10125 KATY FWY STE 106
HOUSTON, TX 77024

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 Marlene Cornelius's NPI number?

The NPI number for Marlene Cornelius is 1699021451. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Marlene Cornelius located?

Marlene Cornelius practices at 10125 Katy Fwy Ste 106, Houston, TX 77024. The listed phone number is (713) 486-1330.

What is Marlene Cornelius's specialty?

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

Is Marlene Cornelius enrolled in Medicare?

Yes. Marlene 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.

What insurance does Marlene Cornelius accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Marlene Cornelius 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 Marlene Cornelius was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.