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

Tara M Cornell, NPP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1922732114

Tara M Cornell, NPP is a Nurse Practitioner in Fort Edward, New York. Qualified in 2022, 4 years ago. Practices with Hudson Headwaters Health Network, a 218-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022

Practice location Address checks out

48 E St
Fort Edward, NY 12828-1811
Phone: (518) 824-8630
Fax: (518) 824-2302
Show map & directions

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

Additional practice locations (1)

  • 161 Carey Rd, Queensbury, NY 12804-7821 — (518) 824-8610

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 404226 (NY)

Record details

NPI number1922732114
Entity typeIndividual (Type 1)
GenderFemale
Credentials NPP
Sole proprietorNo
NPI enumeratedJuly 13, 2022
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025
Mailing address9 Carey Rd, Queensbury, NY 12804-7880

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Hudson Headwaters Health Network — 218 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Edward