Individual provider Active NPI

Rachel Elizabeth Harris Corcoran, PA-C

  • Physician Assistant
  • Westerly, RI
National Provider Identifier
1154983815
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17 West St Unit 3a
Westerly, RI 02891-1584
Phone
(703) 346-1119
NPI assigned
Jul 2, 2019
Last updated
Jul 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Physician Assistant 363A00000X 4871 CT

Addresses

Primary practice location

17 West St Unit 3a
Westerly, RI 02891-1584

Mailing address

17 West St Unit 3a
Westerly, RI 02891-1584
Phone (703) 346-1119

Other practice location 1

385 W Main St
Avon, CT 06001-4357
Phone (860) 777-1280

Other identifiers 1

IdentifierTypeStateIssuer
4871OtherCTCT LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200819002449 CT Practitioner - Physician Assistant 5496171530 Reassigns benefits to 1 organization
I20210929001611 RI Practitioner - Physician Assistant 5496171530

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Medical Associates, LLCGroup PAC ID 7214107515, 113 clinicians

Practice addresses (Care Compare)

220 Route 12
Groton, CT 06340-3414
Phone (860) 650-3848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4871CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Physician Assistant CurrentSince Nov 1, 2021 Accepting new patients
Urgent Care Medical Associates, LLC Physician Assistant CurrentSince Mar 1, 2026 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients
Silver Spring Health Care Management, Inc. Physician Assistant Past Accepting new patients
Silver Spring Health Care Management, Inc. Physician Assistant Past Accepting new patients

Locations

607 W Main St
Norwich, CT 06360
Phone (203) 885-0808

3461 S County Trl
East Greenwich, RI 02818
Phone (401) 471-6740

120 Centerville Rd
Ste 5
Warwick, RI 02886
Phone (401) 562-1017

268 Post Rd
Westerly, RI 02891
Phone (401) 562-1017

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1154983815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WEST ST UNIT 3A",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911584",
            "telephone_number": "703-346-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WEST ST UNIT 3A",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028911584",
            "telephone_number": "703-346-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 W Main St",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CT",
            "postal_code": "060014357",
            "country_code": "US",
            "telephone_number": "860-777-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH HARRIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "4871",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LIC",
            "identifier": "4871",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

Verify at the official NPI Registry.