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
Hospital & facility affiliations 6
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
St Lukes Clinic-Treasure Valley LLC
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
- St Luke'S Regional Medical Center
- St. George Regional Hospital
- St Luke'S Nampa Medical Center
- Intermountain Health Logan Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8183823-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| St Lukes Clinic-Treasure Valley LLC | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Family Medicine | Current |
Accepting new patients |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services, Inc. | Current |
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
- https://epicproxy.ardenthealth.com/fhir/PMC/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService | Other | Bluemark LLC / Office Ally |
NPI Registry JSON
{
"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
- Quincy Cordero
- Cheyenne Cork
- Jeffrey F Corless
- Cornerstone Healthcare Inc
- Corporate Express Chiropractic LLC
- Thomas Lamb Corson
- Matthew Cosgrove
- William E Cosgrove
- Costco Wholesale Corporation
- Costco Wholesale Corporation
All providers in Murray, UT · Family Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.