Individual provider Active NPI

Corinne Mahoney, PA

  • Physician Assistant
  • Boston, MA
National Provider Identifier
1003871898
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1006 Issued in MA
Practice address
111 Brookline Ave
Boston, MA 02215-3903
Phone
(617) 421-1000
Fax
(617) 421-6084
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1006 MA
Physician Assistant 363A00000X 1006 MA Primary

Addresses

Primary practice location

111 Brookline Ave
Boston, MA 02215-3903

Mailing address

41 Resnik Rd
Plymouth, MA 02360-4842
Phone (781) 934-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20060426000783 MA Practitioner - Physician Assistant 2567472145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atrius Health IncGroup PAC ID 4789588641, 1,214 clinicians

Practice addresses (Care Compare)

100 2ND Ave
Needham, MA 02494-2809
Phone (781) 726-4800

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

133 Brookline Ave
Boston, MA 02215-3904
Phone (617) 421-1000

15 Corporate Park Dr
Pembroke, MA 02359-1966
Phone (844) 783-3736

51 Performance Dr
Weymouth, MA 02189-3141
Phone (781) 534-7700

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1006MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Hospital Current Accepting new patients
Atrius Health, Inc. Physician Assistant CurrentSince Mar 30, 2006 Accepting new patients
Plymouth Bay Orthopedic Associates Inc. CurrentSince Jul 1, 2015 Accepting new patients
Atrius Health, Inc. CurrentSince Mar 30, 2006 Accepting new patients
Brigham and Womens Physicians Organization Inc Past Accepting new patients

Locations

147 Milk St
Fl 9
Boston, MA 02109
Phone (617) 559-8051

75 Francis St
Boston, MA 02115

133 Brookline Ave
Boston, MA 02215
Phone (617) 421-1000

95 Tremont St
Ste 1
Duxbury, MA 02332
Phone (781) 934-2400

1153 Centre St
#L1
Jamaica Plain, MA 02130

41 Resnik Rd
Plymouth, MA 02360
Phone (781) 934-2400

Interoperability endpoints

  • Direct secure messaging: cmahoneypa1738@direct.atrius.masshiway.net
  • Direct secure messaging: mahoney.corinne.bwh@direct.partners.masshiway.net

Organizations & group practices 7

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003871898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 RESNIK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604842",
            "telephone_number": "781-934-2400",
            "fax_number": "781-934-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROOKLINE AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022153903",
            "telephone_number": "617-421-1000",
            "fax_number": "617-421-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "CORINNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-07-13",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "1006",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.