Individual provider Active NPI

Corin Alysia Pesci, FNP

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1013013762
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006017 Issued in NC
Practice address
508 Fulton St
Durham VA Medical Center
Durham, NC 27705-3875
Phone
(919) 416-8070
Fax
(919) 286-6873
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006017 NC Primary
Family Nurse Practitioner 363LF0000X 003449 CT

Addresses

Primary practice location

508 Fulton St
Durham VA Medical Center
Durham, NC 27705-3875

Mailing address

508 Fulton St
Durham VA Medical Center
Durham, NC 27705-3875
Phone (919) 416-8070

Other names 1

  • Corin Alysia Shenuski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130220000373 NC Practitioner - Nurse Practitioner 7214938877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
82.92
Promoting interoperability
100
Improvement activities
40
Cost
92.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003449CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA Dermatology CurrentSince Jan 1, 2024 Accepting new patients
Skin Surgery Center PA CurrentSince Jan 1, 2024 Accepting new patients
Frederick a. Lupton III MD PA PastSince Feb 2, 2003 Accepting new patients
Dermatology Associates of Eastern CT LLC Dermatology Past Accepting new patients

Locations

110 Preston Executive Dr
Ste 100
Cary, NC 27513
Phone (919) 653-1344

2238 Nelson Hwy
Ste 100
Chapel Hill, NC 27517
Phone (919) 282-5534

1587 Yanceyville St
Greensboro, NC 27405
Phone (336) 271-2777

855 East St
Pittsboro, NC 27312
Phone (919) 542-2731

1212 Cedarhurst Dr
Ste 102
Raleigh, NC 27609
Phone (919) 431-9911

1210 Central Dr
Sanford, NC 27330
Phone (919) 776-5286

1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434

Interoperability endpoints

  • Direct secure messaging: cpesci954175@direct.unc.nchie.net
  • Direct secure messaging: cpesci@centralderm.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1013013762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 FULTON ST",
            "address_2": "DURHAM VA MEDICAL CENTER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-416-8070",
            "fax_number": "919-286-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 FULTON ST",
            "address_2": "DURHAM VA MEDICAL CENTER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053875",
            "telephone_number": "919-416-8070",
            "fax_number": "919-286-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESCI",
        "first_name": "CORIN",
        "middle_name": "ALYSIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006017",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORIN",
            "last_name": "SHENUSKI",
            "middle_name": "ALYSIA",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.