Individual provider Active NPI

Korin Marie Trumpie, PA-C

  • Medical Physician Assistant
  • Coudersport, PA
National Provider Identifier
1053646919
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA053912 Issued in PA
Practice address
1001 East Second Street
Charles Cole Memorial Hospital
Coudersport, PA 16915
Phone
(814) 274-9300
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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 MA053912 PA Primary

Addresses

Primary practice location

1001 East Second Street
Charles Cole Memorial Hospital
Coudersport, PA 16915

Mailing address

1001 East Second Street
Charles Cole Memorial Hospital
Coudersport, PA 16915
Phone (814) 274-9300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address korin.m.trumpie@upmcdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130506000099 PA Order and Referring Only - Physician Assistant 1850538174

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Cole Memorial Hopstial Past Accepting new patients

Organizations & group practices 1

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": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1053646919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 EAST SECOND STREET",
            "address_2": "CHARLES COLE MEMORIAL HOSPITAL",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "16915",
            "telephone_number": "814-274-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EAST SECOND STREET",
            "address_2": "CHARLES COLE MEMORIAL HOSPITAL",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "16915",
            "telephone_number": "814-274-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMPIE",
        "first_name": "KORIN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA053912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "korin.m.trumpie@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "UPMC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 East Second Street",
            "address_2": "Charles Cole Memorial Hospital",
            "city": "Coudersport",
            "state": "PA",
            "country_code": "US",
            "postal_code": "16915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coudersport, PA

Sources for this page

Verify at the official NPI Registry.