Annie Kathryn Kornetzke, DO
Family Medicine Physician · Taylorsville, UT
Annie Kathryn Kornetzke, DO is a family medicine physician with a practice address in Taylorsville, Utah, and NPI 1053979948, issued on Jun 5, 2019. Check the license (Utah 12784879-1204, as entered in NPPES) on the Utah Medical Licensing Board; the Medicare figures below come from public CMS files.
- Name
- Annie Kathryn Kornetzke
- Credential
- DO
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 12784879-1204 UT
125074527 IL
Self-reported in NPPES; status is on the state search - Practice location
- 4745 S 3200 W, Taylorsville, UT 84129
- Phone
- (801) 964-6214
- Enumerated
- Jun 5, 2019
- Record last updated
- Jul 19, 2022
- Fax
- (877) 497-4661
- Medicare enrollment
- Enrolled (PECOS I20220823000564); accepts Medicare assignment
- Medical or professional school
- Chicago College Of Osteopathy, 2019
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 1,411 in Utah → Look up another NPI →
Also registered at 4745 S 3200 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Krystal Bramwell, MDFamily Medicine Physician1265058564
- Jamilieth Campos AlejandreStudent in an Organized Health Care Education/Training Program1093432346
- Tania CastrellonRegistered Nurse1316320419
- Jasmin Charles, PA-CPhysician Assistant1912258278
- Mindy Cook, DOStudent in an Organized Health Care Education/Training Program1669311528
- Jocelyn CortezPhysician Assistant1689299653
Verify Annie Kathryn Kornetzke in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersUtah Medical Licensing Board
Search for license 12784879-1204Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
97% fewer Medicare Part D claims than the average family medicine physician in 2024
103 Medicare Part D claims for 20 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Bills Medicare through one group practice
- Community Health Centers IncSalt Lake City, UT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Annie Kathryn Kornetzke among 1,411 family medicine physician records in Utah
Annie Kathryn Kornetzke, DO is one of 1,411 family medicine physician records with a practice address in Utah. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 82% of them.
- NPI issued2019 · 82% of these records are older, 16% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated2019 · median 2008 among the 942 with a school on file
- Record last updated2022 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Utah practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
19 family medicine physician records list a practice address in Taylorsville
They are 19 of the 2,866 NPPES records with a practice address in Taylorsville, and 1,411 family medicine physician records in Utah.
All 1,411 in Utah → Every provider in Taylorsville → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Krystal Bramwell, MDTaylorsville, UT 841291265058564
- Lillian Hayes, MDTaylorsville, UT 841291144866807
- Luke Heitz, M.D.Taylorsville, UT 841291043508575
- Rodger HurstTaylorsville, UT 841291154950715
- Matthew Johnson, M.D.West Valley City, UT 841291699787770
- Nathan McKellar, DOTaylorsville, UT 841291508844853
- Jessica Petrovich, MDTaylorsville, UT 841291265865125
- Frank Powers, M.D.Taylorsville, UT 841291447412135
Common questions
What is Annie Kathryn Kornetzke, DO's NPI number?
Annie Kathryn Kornetzke, DO's National Provider Identifier (NPI) is 1053979948, issued on Jun 5, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Annie Kathryn Kornetzke, DO located?
The NPPES record lists a practice address at 4745 S 3200 W, Taylorsville, UT, 84129. Phone: (801) 964-6214. Providers update this record themselves, so call before visiting.
How can I verify Annie Kathryn Kornetzke, DO's license?
NPPES lists Utah license number 12784879-1204, as entered by the provider. Search the Utah Medical Licensing Board at https://secure.utah.gov/llv/search/index.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Annie Kathryn Kornetzke, DO prescribe under Medicare Part D?
In 2024, Annie Kathryn Kornetzke, DO had 103 Medicare Part D claims for 20 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.