Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corinne Monique Hertsel

Individual provider Registered Nurse · NPI 1164064119

Corinne Monique Hertsel is a Nurse Practitioner in Syracuse, Indiana. Qualified in 2019, 7 years ago. Practices with Kosciusko Medical Group LLC, a 41-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2

Practice location Address checks out

107 W Pickwick Dr Ste A
Syracuse, IN 46567-1832
Phone: (574) 457-8585
Fax: (260) 479-2913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009435A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28173822A (IN)

Record details

NPI number1164064119
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESOctober 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kosciusko Medical Group Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Syracuse