KELLY CORNNELL PA-C
NPI 1922549104
Physician Assistant - Surgical in Brandon, FL

Q: What is Kelly Cornnell's NPI number?

The NPI number for Kelly Cornnell is 1922549104. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Q: What is Kelly Cornnell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Cornnell was last updated on January 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment

305 E BRANDON BLVD, BRANDON, FL 33511(813) 978-9700 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2020, May 10, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Kelly Cornnell Pa-c NPPES

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

KELLY CORNNELL PA-C (NPI 1922549104) is an individual surgical provider in Brandon, Florida, licensed in Florida (9110185) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Tampa General Hospital, and maintains a secondary practice location in Temple Terrace.

NPPES Registry Identity

NPI1922549104

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKELLY CORNNELLCredential: PA-C

Location Address305 E BRANDON BLVDBrandon, FL 33511-5222

Mailing Address13020 N Telecom PkwyTemple Terrace, FL 33637-0925 · (813) 978-9700 · Fax (813) 558-6186

Phone(813) 978-9700

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 20, 2017

Last NPPES UpdateJanuary 28, 20204 updates tracked since enumeration

✔ NPI 1922549104 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 FL · 9110185

305 E BRANDON BLVD, Brandon, FL 33511

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Secondary Practice Location 1

Location 113020 N Telecom PkwyTemple Terrace, FL 33637-0925 · Phone (813) 978-9700 ext. 7646

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, UnitedHealthcare, Wellpoint.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

Kelly Cornnell Pa-c 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 ID345527669

PECOS Enrollment IDI20170515000668

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 6

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

176 services15 patients

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.

67 services63 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

55 services42 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

44 services30 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

28 services11 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

21 services19 patients

Hospital Affiliations CMS Care Compare

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

Tampa General Hospital

Acute Care Hospitals · Tampa, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100128

Location1 Tampa General CirTampa, FL 33606 · Hillsborough County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 16

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

MRS. KAREN GREENE

Registered Nurse (Orthopedic)

305 E BRANDON BLVD, SUITE 101
BRANDON, FL 33511

Hillsborough County (813) 978-9700

STEPHEN R DARCY PT

Physical Therapist