Alisa F Corry, NP-C

Individual provider Active NPI Family Nurse Practitioner · Murray, UT

NPI 1003586876 · NPPES record last updated Apr 8, 2026

Key facts

NPI
1003586876
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
8183823-4405 (UT)
Practice address
5171 S Cottonwood St Ste 210
Murray, UT 84107-5718
Phone
(801) 507-3380
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ihc Health Services Inc (3,948 clinicians)
St Lukes Clinic-Treasure Valley LLC (1,155 clinicians)

Practice addresses (Care Compare)

1501 Hiland Ave K
Burley, ID 83318-2682
Phone (208) 678-1126

2650 N Tenaya Way
Suite 360
Las Vegas, NV 89128-1102
Phone (801) 507-3380

3277 E Louise Dr
Suite 150
Meridian, ID 83642-9373
Phone (208) 706-8346

5171 S Cottonwood St
Suite 305
Murray, UT 84107-5704
Phone (801) 507-9310

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

  • Intermountain Medical Center Hospital · Murray, UT · CCN 460010
  • St Luke'S Regional Medical Center Hospital · Boise, ID · CCN 130006
  • St. George Regional Hospital Hospital · St George, UT · CCN 460021
  • St Luke'S Nampa Medical Center Hospital · Nampa, ID · CCN 130071
  • Intermountain Health Logan Regional Hospital Hospital · Logan, UT · CCN 460015

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100 (group)
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in UT, ID, NV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220627001074 UT Practitioner - Nurse Practitioner 2466831110 Reassigns benefits to 1 organization
I20220718002378 ID Practitioner - Nurse Practitioner 2466831110 Reassigns benefits to 2 organizations
I20220802003767 NV Practitioner - Nurse Practitioner 2466831110 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
8183823-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine Current
since Jun 16, 2022
Accepting new patients
Ihc Health Services Inc Current
since May 12, 2022
Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine Current
since Jun 16, 2022
Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Current
since Mar 12, 2022
Accepting new patients
Ihc Health Services Inc Family Medicine Current
since May 12, 2022
Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. Current
since Mar 12, 2022
Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1501 Hiland Ave
Ste K
Burley, ID 83318
Phone (208) 678-1126

1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444

3277 E Louise Dr
Ste 100
Meridian, ID 83642
Phone (208) 706-5217

3277 E Louise Dr
Ste 150
Meridian, ID 83642
Phone (208) 388-7239

444 Hospital Way
Pocatello, ID 83201
Phone (208) 232-6214

2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154

2650 N Tenaya Way
Ste 360
Las Vegas, NV 89128
Phone (702) 240-0088

1915 W 5950 S
Roy, UT 84067
Phone (801) 387-8100

5171 S Cottonwood St
Ste 210
Salt Lake City, UT 84107

5171 S Cottonwood St
Ste 305
Salt Lake City, UT 84107
Phone (801) 507-9310

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

1380 E Medical Center Dr
Ste 4500
St George, UT 84790
Phone (435) 251-2501

1300 SE Cardinal Ct
Ste 190
Vancouver, WA 98683
Phone (360) 448-4479

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/PMC/api/FHIR/R4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8183823-4405 UT Yes

Addresses

Primary practice location

5171 S Cottonwood St Ste 210
Murray, UT 84107-5718

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 507-3380

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService Other Bluemark LLC / Office Ally

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 8, 2026.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1003586876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-507-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 S COTTONWOOD ST STE 210",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841075718",
            "telephone_number": "801-507-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRY",
        "first_name": "ALISA",
        "middle_name": "F",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "8183823-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

All providers in Murray, UT · Family Nurse Practitioner in Utah

Sources for this page

Verify at the official NPI Registry.