Active NPI
Corina Narvaez Jacob, MD
- Family Medicine Physician
- Mankato, MN
National Provider Identifier
1043409055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- WILL GET 7-2009
- Practice address
- 101 Martin Luther King Dr
Mankato, MN 56001-6460 - Phone
- (507) 385-6500
- NPI assigned
- Oct 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | WILL GET 7-2009 | MN | Primary |
Addresses
Primary practice location
101 Martin Luther King Dr
Mankato, MN 56001-6460
Mailing address
101 Martin Luther King Dr
Mankato, MN 56001-6460
Phone (507) 385-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110222000922 | MN | Practitioner - Family Practice | 6608057765 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Perham Hospital District
Practice addresses (Care Compare)
1000 Coney St W
Perham, MN 56573-2102
Phone (218) 347-1200
Hospital & facility affiliations
- Perham Living Home Care
- Hia Hospice
- Perham Health
- Sanford Medical Center Fargo
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.39 of 100
- Quality
- 91.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WILL GET 7-2009 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Family Medicine | Current | Accepting new patients |
| Perham Hospital District | Current | Accepting new patients | |
| Perham Hospital District | Current | Accepting new patients | |
| Sanford Clinic North | Family Medicine | Past | Accepting new patients |
Locations
105 Otter Dr
Ottertail, MN 56571
Phone (218) 367-6111
1000 Coney St W
Perham, MN 56573
Phone (218) 347-1200
Organizations & group practices 8
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.
-
- Home Health Agency
- Perham, MN
- NPI 1407843691
-
- Skilled Nursing Facility
- Perham, MN
- NPI 1568476323
-
- Medicare Defined Swing Bed Hospital Unit
- Perham, MN
- NPI 1881608610
-
- Durable Medical Equipment & Medical Supplies
- Perham, MN
- NPI 1558630012
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Perham, MN
- NPI 1407843691
-
- Ambulatory Surgical Clinic/Center
- Bemidji, MN
- NPI 1093876922
Hospital
-
- Community Based Hospice Care Agency
- Fargo, ND
- NPI 1538253646
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1043409055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MARTIN LUTHER KING DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016460",
"telephone_number": "507-385-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MARTIN LUTHER KING DR",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016460",
"telephone_number": "507-385-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARVAEZ JACOB",
"first_name": "CORINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "WILL GET 7-2009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.