Rui Paulo Correia, APRN-CNP
Individual provider Active NPI Nurse Practitioner · Beaumont, TX
NPI 1053166231 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1053166231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 1129700 (TX)
- Practice address
- 1495 N 7TH St
Beaumont, TX 77702-1345 - Phone
- (419) 832-8338
- Fax
- (409) 832-0976
- NPI assigned
- Apr 22, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Triangle Area Network Inc
Practice addresses (Care Compare)
3727 N 16TH St
Orange, TX 77632-4690
Phone (409) 920-4223
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20240723002191 | TX | Practitioner - Nurse Practitioner | 0446796734 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1129700 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Area Network Inc | Current |
Accepting new patients | |
| Michael K Crossley, M D P a | Past |
Accepting new patients |
Locations
1495 N 7th St
Beaumont, TX 77702
Phone (409) 832-3377
3727 N 16th St
Orange, TX 77632
Phone (409) 920-4223
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGFEAD
- https://fhir4.healow.com/fhir/r4/GGFEAD/Endpoint/GGFEAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1129700 | TX | Yes |
Addresses
Primary practice location
1495 N 7TH St
Beaumont, TX 77702-1345
Mailing address
845 W Circle Dr
Vidor, TX 77662-9022
Phone (409) 782-5479
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. 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.