Individual provider Active NPI

Luc G Corriveau, CRNA

  • Certified Registered Nurse Anesthetist
  • Berlin, NH
National Provider Identifier
1104229129
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
060989-23 Issued in NH
Practice address
59 Page Hill Rd
Berlin, NH 03570
Phone
(603) 752-2200
NPI assigned
Oct 4, 2014
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RNA143059 ME
Certified Registered Nurse Anesthetist 367500000X 060989-23 NH Primary

Addresses

Primary practice location

59 Page Hill Rd
Berlin, NH 03570

Mailing address

59 Page Hill Rd
Berlin, NH 03570-3542
Phone (603) 752-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150225000752 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547586224 Reassigns benefits to 1 organization
I20180208000436 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547586224 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Androscoggin Valley Hospital IncGroup PAC ID 2365350725, shared by 3 NPIs, 61 clinicians

Practice addresses (Care Compare)

59 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570-3531
Phone (603) 752-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
060989-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Weeks Medical Center CurrentSince Jun 25, 2019 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Weeks Medical Center CurrentSince Feb 7, 2026 Accepting new patients
Androscoggin Valley Hospital, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Mercy Hospital CurrentSince Jan 19, 2016 Accepting new patients
Weeks Medical Center Current Accepting new patients
Weeks Medical Center CurrentSince Jun 25, 2019 Accepting new patients
Mercy Hospital CurrentSince Jan 19, 2016 Accepting new patients
Androscoggin Valley Hospital Inc CurrentSince Jan 1, 2018 Accepting new patients
Upper Connecticut Valley Hospital Association CurrentSince Aug 7, 2018 Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients

Locations

489 State St
Bangor, ME 04401
Phone (207) 973-8837

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

59 Page Hill Rd
Berlin, NH 03570
Phone (603) 752-2200

7 Page Hill Rd
Berlin, NH 03570
Phone (603) 326-5827

181 Corliss Ln
Colebrook, NH 03576
Phone (603) 237-8652

173 Middle St
Lancaster, NH 03584
Phone (603) 788-4911

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Androscoggin Valley Hospital IncBerlin, NH, CCN 30Z310 Hospital Corporate Director Jan 1, 2026

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1412380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1104229129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035703542",
            "telephone_number": "603-752-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 PAGE HILL RD",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "03570",
            "telephone_number": "603-752-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIVEAU",
        "first_name": "LUC",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-04",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA143059",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "060989-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NH

Sources for this page

Verify at the official NPI Registry.