Dr Nicole Cornish, DNP, APRN-C - Medicare Nurse Practitioner in Oklahoma City, OK

Dr Nicole Cornish, DNP, APRN-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Oklahoma City, Oklahoma. Her current practice location is 3400 S Douglas Blvd, Suite 305, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 622-3063.

Dr Nicole Cornish is licensed to practice in Oklahoma (license number 89710) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003296492.

Contact Information

Dr Nicole Cornish, DNP, APRN-C
3400 S Douglas Blvd, Suite 305,
Oklahoma City, OK 73150-1001
(405) 622-3063
(405) 732-0022



Provider's Profile

Full NameDr Nicole Cornish
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location3400 S Douglas Blvd, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003296492
  • Provider Enumeration Date: 06/01/2015
  • Last Update Date: 09/19/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2163737743
  • Enrollment ID: I20150811004527

Medical Identifiers

Medical identifiers for Dr Nicole Cornish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003296492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 89710 (Oklahoma)Secondary
363LG0600XNurse Practitioner - Gerontology 89710 (Oklahoma)Secondary
363LP2300XNurse Practitioner - Primary Care 89710 (Oklahoma)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole Cornish allows following entities to bill medicare on her behalf.
Entity NameHolloway Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497848147
PECOS PAC ID: 1951297985
Enrollment ID: O20040225001056

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Entity NameOklahoma Mental Health Council
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275574907
PECOS PAC ID: 3173514387
Enrollment ID: O20040518001034

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Entity NameQuestcare Hospitalists Oklahoma Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578909388
PECOS PAC ID: 6901049022
Enrollment ID: O20130821000297

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Entity NameForefront-rush Medical Service Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083036651
PECOS PAC ID: 4486884285
Enrollment ID: O20170608002204

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Entity NamePrevise Medical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699433961
PECOS PAC ID: 4385036748
Enrollment ID: O20220114000109

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole Cornish is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicole Cornish, DNP, APRN-C
3400 S Douglas Blvd, Suite 305,
Oklahoma City, OK 73150-1001

Ph: (405) 622-3063
Dr Nicole Cornish, DNP, APRN-C
3400 S Douglas Blvd, Suite 305,
Oklahoma City, OK 73150-1001

Ph: (405) 622-3063

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Nurse Practitioner Nurses in Oklahoma City, OK

Ann R Benson, BSN, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Ne 10th St, Oklahoma City, OK 73117
Phone: 405-271-4476    Fax: 405-271-9202
Mrs. Judy Kay Kellogg, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1025 Straka Ter, Oklahoma City, OK 73139
Phone: 405-632-6688    Fax: 405-604-0708
Mrs. Darbi Lynne Williams, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4050 W Memorial Rd, Oklahoma City, OK 73120
Phone: 405-608-3800    Fax: 405-608-3838
Tammy Ann Harrelson, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14000 N Portland Ave, Suite 201, Oklahoma City, OK 73134
Phone: 405-606-2727    Fax: 405-606-7040
Liji Seilas, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1901 Springlake Dr, Oklahoma City, OK 73111
Phone: 405-521-8486    Fax: 405-521-8496
Hilary Lauren Knippers, APRN-CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3110sw89th St 200d, Oklahoma City, OK 73159
Phone: 405-680-5633    Fax: 405-799-7400
Mrs. Rachel Leigh Cross, APRN, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Childrens Ave, Suite 10000, Oklahoma City, OK 73104
Phone: 405-271-4412    

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