CLAUDIA CORNEJO CNM
NPI 1982168076
Advanced Practice Midwife in Houston, TX

Active since January 23, 2019PECOS EnrolledAccepts Medicare Assignment
85.29/100
CMS Quality Rating
1631 NORTH LOOP W STE 220, HOUSTON, TX 77008(713) 867-2000 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 11, 2025, Dec 10, 2020, Oct 20, 2020 and 3 more (6 updates tracked since 2019).

About Claudia Cornejo Cnm NPPES

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

CLAUDIA CORNEJO CNM (NPI 1982168076) is an individual advanced practice midwife in Houston, Texas, licensed in Texas (1212900) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1982168076
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameCLAUDIA CORNEJOCredential: CNM
Location Address1631 NORTH LOOP W STE 220Houston, TX 77008-1530
Mailing Address6431 Fannin St # 3.286Houston, TX 77030-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 23, 2019
Last NPPES UpdateSeptember 26, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1982168076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in TX · 1212900
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedMidwifeTaxonomy 176B00000X · License 2019019255 (MO)
1631 NORTH LOOP W STE 220, Houston, TX 77008

Other Identifiers 1

Medicaid250070463MO

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

Claudia Cornejo Cnm 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 ID8022342047
PECOS Enrollment IDI20251015001140
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Claudia Cornejo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
Emergency Medicine
7900 LEES SUMMIT RD
Kansas City, MO 64139
  • Reassigned Medicare billing, Missouri enrollment
  • 364 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 77008 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.76
Promoting Interoperability100
Improvement Activities40
Cost46.54

Other Providers at the Same Location NPPES 3

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

Obstetrics & Gynecology
1631 NORTH LOOP W STE 220
HOUSTON, TX 77008
Obstetrics & Gynecology
1631 NORTH LOOP W STE 220
HOUSTON, TX 77008
Obstetrics & Gynecology
1631 NORTH LOOP W STE 220
HOUSTON, TX 77008

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 Claudia Cornejo's NPI number?

The NPI number for Claudia Cornejo is 1982168076. It was assigned to this individual provider in the NPPES registry on January 23, 2019.

Where is Claudia Cornejo located?

Claudia Cornejo practices at 1631 North Loop W Ste 220, Houston, TX 77008. The listed phone number is (713) 867-2000.

What is Claudia Cornejo's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Claudia Cornejo enrolled in Medicare?

Yes. Claudia 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 organizations bill Medicare for Claudia Cornejo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Cornejo reassigns Medicare benefits to 2 organizations: Ut Physicians (Houston, TX) and Truman Medical Center Incorporated (Kansas City, MO). Each 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 Claudia Cornejo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Cornejo accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Claudia 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 Claudia Cornejo was last updated on September 26, 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.