Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366124869 Individual Practitioner Female Practitioner

Debra Lynne Cornwell

Peer Specialist • Centralia, WA

Professional Overview & Biography Verified Profile Summary

Debra Cornwell is a registered healthcare professional specializing in Peer Specialist in Centralia, WA. Practice services are available at 1707 COOKS HILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1707 Cooks Hill Rd

Centralia, WA 985319071

Telephone 3602616930
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Centralia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
65 Specialists

Practicing in Centralia, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-01
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

38 Associated Practitioners
Chelsie Torres , SUDPT

Student in an Organized Health Care Education/Training Program

NPI 1003501263
Jacqueline Pleus

Case Manager/Care Coordinator

NPI 1043901341
Annie Gaddis

Student in an Organized Health Care Education/Training Program

NPI 1053048272
Caleb Steele

Counselor

NPI 1093524423
Shela Moreno

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144000332
Jerri Hawks

Case Manager/Care Coordinator

NPI 1154066983

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2023

Registered at 1707 COOKS HILL RD, CENTRALIA, WA 985319071 (Tel: 3602616930)

📍
Updated Business Mailing Address August 03, 2023

Registered at PO BOX 255, SILVER CREEK, WA 985850255 (Tel: 3609496578)

👤
Provider Name / Credentials Updated August 03, 2023

Recorded as DEBRA CORNWELL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration August 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366124869
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2023
Last Update: August 03, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 255

Silver Creek, WA 985850255

Phone: 3609496578

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.