KORNELY PODIATRY, LLC
NPI 1861449720
Podiatrist in West Bend, WI

Q: What is Kornely Podiatry, LLC's NPI number?

The NPI number for Kornely Podiatry, LLC is 1861449720. It was assigned to this organization in the NPPES registry on May 27, 2006.

Q: What is Kornely Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since May 27, 2006

2358 W WASHINGTON ST, WEST BEND, WI 53095(262) 335-2930(262) 335-2931 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2022, May 21, 2019 (2 updates tracked since 2019).

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About Kornely Podiatry, Llc NPPES

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

KORNELY PODIATRY, LLC (NPI 1861449720) is a healthcare organization registered as a podiatrist in West Bend, Wisconsin and active in the NPI registry since May 2006. The organization lists Lisa G. Kornely, Owner, as its authorized official.

NPPES Registry Identity

NPI1861449720

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameKORNELY PODIATRY, LLC

Location Address2358 W WASHINGTON STWest Bend, WI 53095-2118

Mailing Address2358 W Washington StWest Bend, WI 53095-2118 · (262) 335-2930 · Fax (262) 335-2931

Phone(262) 335-2930

Fax(262) 335-2931

Organization SubpartNo

Authorized OfficialLisa G. KornelyOwner · (262) 335-2930

Enumeration DateMay 27, 2006

Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 1, 2022

✔ NPI 1861449720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in WI · 774-025

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

2358 W WASHINGTON ST, West Bend, WI 53095

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Other Identifiers 1

Medicaid43225400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kornely Podiatry, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kornely Podiatry, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Lisa Kornely, D.P.M.

Podiatry

NPI 1699732461

2358 W WASHINGTON ST
West Bend, WI 53095

(262) 335-2930

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kornely Podiatry, LLC's NPI number?

The NPI number for Kornely Podiatry, LLC is 1861449720. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Kornely Podiatry, LLC located?

Kornely Podiatry, LLC is located at 2358 W Washington St, West Bend, WI 53095. The listed phone number is (262) 335-2930.

What is Kornely Podiatry, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Kornely Podiatry, LLC enrolled in Medicare?

Yes. Kornely Podiatry, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kornely Podiatry, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Kornely Podiatry, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kornely Podiatry, LLC accept?

Health plans from CareSource (Common Ground Healthcare) and Quartz list Kornely Podiatry, LLC 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 Kornely Podiatry, LLC was last updated on February 1, 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.