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

Timothy Neal Cornwall

Individual provider Pain Management Registered Nurse · NPI 1356852164

Timothy Neal Cornwall is a Certified Registered Nurse Anesthetist (CRNA) in Spokane, Washington. Qualified in 2017, 9 years ago. Practices with Spokane Outpatient Anesthesia PLLC, a 22-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

800 W 5th Ave
Spokane, WA 99204
Phone: (509) 473-7626
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence AP60807265 (WA)
Pain Management Registered Nurse Taxonomy 163WP0000X · Licence RN00168846 (WA)

Record details

NPI number1356852164
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESJune 10, 2018
Mailing address8408 E Fleming Rd, Fairfield, WA 99012-9710

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Spokane Outpatient Anesthesia Pllc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount