Active NPI
Mary Susan Corliss, NP-C
- Family Nurse Practitioner
- Concord, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 024092-23
- Practice address
- 246 Pleasant St
Concord, NH 03301-2548 - Phone
- (603) 224-6070
- Fax
- (603) 224-6094
- NPI assigned
- Feb 4, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 024092-23 | NH | Primary |
Addresses
Primary practice location
246 Pleasant St
Concord, NH 03301-2548
Mailing address
246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-6070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130416000588 | NH | Practitioner - Nurse Practitioner | 4486890514 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Incare LLCIncare Tufts PLLCConcord Hospital Inc
Practice addresses (Care Compare)
166 Kinsley St
Suite 302
Nashua, NH 03060-3676
Phone (978) 519-4114
246 Pleasant St
Concord, NH 03301-2548
Phone (603) 224-1725
254 Pleasant St
Concord, NH 03301-2551
Phone (603) 226-9800
Hospital & facility affiliations
- Concord Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89 of 100
- Quality
- 73.23
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024092-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Incare LLC | Current | Accepting new patients | |
| Concord Hospital, Inc. | Current | Accepting new patients | |
| Essex Inpatient Physicians, PC | Current | Accepting new patients | |
| Incare Tufts PLLC | Current | Accepting new patients |
Locations
565 Turnpike St
Ste 85
North Andover, MA 01845
Phone (978) 519-4114
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
280 Pleasant St
Ste 1
Concord, NH 03301
Phone (603) 226-9800
254 Pleasant St
Ste 302
Concord, NH 03301
254 Pleasant St
Concord, NH 03301
Phone (603) 226-9700
246 Pleasant St
Bldg W
Concord, NH 03301
Phone (603) 224-3388
246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223
307 Plaza Dr
Dover, NH 03820
Phone (207) 775-4000
166 Kinsley St
Ste 302
Nashua, NH 03060
Phone (603) 228-5935
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CFFBDD
- https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Psychiatric Hospital Unit
- Concord, NH
- NPI 1124070966
-
- General Acute Care Hospital
- Concord, NH
- NPI 1215988530
-
- General Practice Physician
- Concord, NH
- NPI 1801840764
Hospital & facility affiliations 1
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": "1359936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1124367602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012548",
"telephone_number": "603-224-6070",
"fax_number": "603-224-6094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 PLEASANT ST",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012548",
"telephone_number": "603-224-6070",
"fax_number": "603-224-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLISS",
"first_name": "MARY",
"middle_name": "SUSAN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-04",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "024092-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.