Individual provider Active NPI

Mary Susan Corliss, NP-C

  • Family Nurse Practitioner
  • Concord, NH
National Provider Identifier
1124367602
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
024092-23 Issued in NH
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

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLC 62 clinicians
Incare Tufts PLLC 49 clinicians
Concord Hospital Inc 572 clinicians

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 Hospital, Concord, NH, CCN 300001

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
024092-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Feb 18, 2013 Accepting new patients
Concord Hospital, Inc. CurrentSince Feb 18, 2013 Accepting new patients
Incare LLC CurrentSince Jan 2, 2025 Accepting new patients
Concord Hospital, Inc. Current Accepting new patients
Essex Inpatient Physicians, PC CurrentSince Sep 12, 2022 Accepting new patients
Incare Tufts PLLC CurrentSince Nov 22, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
  • FHIR API: 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.

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

Verify at the official NPI Registry.