Individual provider Active NPI

Esther Y McCorkindale, PAC

  • Medical Physician Assistant
  • Yakima, WA
National Provider Identifier
1023005543
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
025211PA10004017 Issued in WA
Practice address
2500 Racquet LN
Ste 100
Yakima, WA 98902-6114
Phone
(509) 249-3900
Fax
(509) 573-9539
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 025211PA10004017 WA Primary

Addresses

Primary practice location

2500 Racquet LN
Ste 100
Yakima, WA 98902-6114

Mailing address

2500 Racquet LN
Ste 100
Yakima, WA 98902-6114
Phone (509) 249-3900

Other identifiers 2

IdentifierTypeStateIssuer
8357493MedicaidWA
970021921OtherWARAILROAD MEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050203000691 WA Practitioner - Physician Assistant 3870544182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Urology at Memorial TRGroup PAC ID 9133439599, 8 clinicians

Practice addresses (Care Compare)

2500 Racquet LN
Suite 100
Yakima, WA 98902-6114
Phone (509) 746-3900

2811 Tieton Dr
Yakima, WA 98902-3761

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Kittitas Valley Community Hospital Hospital, Ellensburg, WA, CCN 501333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025211PA10004017WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Urology Associates PLLC Current Accepting new patients

Locations

2500 Racquet Ln
#100
Yakima, WA 98902
Phone (509) 249-3900

Interoperability endpoints

  • Direct secure messaging: emccorkindale777838@direct.multicare.org
  • Direct secure messaging: esthermccorkindale2@yua.medalliesdirect.net

Organizations & group practices 2

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 2

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1023005543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RACQUET LN",
            "address_2": "STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026114",
            "telephone_number": "509-249-3900",
            "fax_number": "509-573-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RACQUET LN",
            "address_2": "STE 100",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026114",
            "telephone_number": "509-249-3900",
            "fax_number": "509-573-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORKINDALE",
        "first_name": "ESTHER",
        "middle_name": "Y",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "025211PA10004017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8357493",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "970021921",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.