Active NPI
Corinne Nowak, PA-C
- Physician Assistant
- Bellingham, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5738
- Practice address
- 245 Hartford Ave Ste 1
Bellingham, MA 02019-3007 - Phone
- (774) 295-4355
- Fax
- (774) 295-4880
- NPI assigned
- Jun 15, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5738 | MA | Primary |
Addresses
Primary practice location
245 Hartford Ave Ste 1
Bellingham, MA 02019-3007
Mailing address
360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1285 Belmont St
Suite 1
Brockton, MA 02301-4440
Phone (508) 894-7015
40 Davis Straits
Falmouth, MA 02540-3906
Phone (774) 255-3010
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5738 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Brockton Hospital, Inc. | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Brockton Hospital, Inc. | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Past | Accepting new patients | |
| Convenientmd LLC | Past | Accepting new patients |
Locations
245 Hartford Ave
Ste 1
Bellingham, MA 02019
Phone (774) 295-4355
245 Hartford Ave
Bellingham, MA 02019
Phone (774) 295-4355
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
40 Davis Straits
Falmouth, MA 02540
Phone (774) 255-3010
111 New Hampshire Ave
Portsmouth, NH 03801
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
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.
-
- Urgent Care Clinic/Center
- Worcester, MA
- NPI 1790528628
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
-
- Community/Retail Pharmacy
- East Bridgewater, MA
- NPI 1033084462
-
- Urgent Care Clinic/Center
- Quincy, MA
- NPI 1063103448
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
-
- Urgent Care Clinic/Center
- Bellingham, MA
- NPI 1629769096
-
- Urgent Care Clinic/Center
- Newburyport, MA
- NPI 1316428824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700179200000",
"number": "1073963500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 US HIGHWAY 1 BYP UNIT 102",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017105",
"telephone_number": "603-410-6700",
"fax_number": "603-319-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 HARTFORD AVE STE 1",
"city": "BELLINGHAM",
"state": "MA",
"postal_code": "020193007",
"telephone_number": "774-295-4355",
"fax_number": "774-295-4880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "CORINNE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2023-11-17",
"certification_date": "2023-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "5738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.