Raegan McCorkle, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

852529 Issued in NV

Practice address

1815 E Lake Mead Blvd Ste 215
North Las Vegas, NV 89030-7190

Phone

(702) 818-1919

Fax

(702) 399-5499

NPI assigned

Apr 4, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BADJBA/Endpoint/BADJBA
• FHIR API: https://api.platform.athenahealth.com/25309/brand/1/csg/1/fhir/r4
• Direct secure messaging: raegan.mccorkle.1@27017.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iriye Medical Group PLLC

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
  • NPI 1467496240
  Medicare reassignment NPD
• Nader Y. Abdelsayed, M.D., Professional Corporation

  • Obstetrics & Gynecology Physician
  • North Las Vegas, NV
  • NPI 1841536901
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1003557273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 215",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307190",
            "telephone_number": "702-818-1919",
            "fax_number": "702-399-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 215",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307190",
            "telephone_number": "702-818-1919",
            "fax_number": "702-399-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKLE",
        "first_name": "RAEGAN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-04",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "852529",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "852529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus McComas
• Lisa McComb, MBA, RD, LD, IBCLC
• Shunta McConico-Szendrei
• Paula Urett McConico
• Molly McCord, LMSW
• Darron McCoy
• Dyean McCoy
• I'Jon McCoy
• Marvel McCoy
• Peter E. McCoy

• Family Nurse Practitioner in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.