Individual provider Active NPI

Meagan Corey, AGNP

  • Gerontology Nurse Practitioner
  • Linthicum, MD
National Provider Identifier
1104278316
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
71006417A Issued in IN
Practice address
785 Elkridge Landing Rd Ste 300
Linthicum, MD 21090-2958
Phone
(410) 967-2097
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 71006417A IN Primary
Registered Nurse 163W00000X 28175491A IN

Addresses

Primary practice location

785 Elkridge Landing Rd Ste 300
Linthicum, MD 21090-2958

Mailing address

PO Box 616
Nineveh, IN 46164-0616
Phone (317) 490-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160811001431 IN Practitioner - Nurse Practitioner 5092009126 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28175491AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
My Mobile MD LLC CurrentSince Jul 3, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Extended Care Specialists, Inc PastSince Oct 6, 2024 Accepting new patients

Locations

429 E Vermont St
Ste 110
Indianapolis, IN 46202
Phone (317) 536-2290

Organizations & group practices 3

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1104278316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "NINEVEH",
            "state": "IN",
            "postal_code": "461640616",
            "telephone_number": "317-490-3571",
            "fax_number": "844-913-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 ELKRIDGE LANDING RD STE 300",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902958",
            "telephone_number": "410-967-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "MEAGAN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71006417A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28175491A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

Verify at the official NPI Registry.