Corey Jo Tarbell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010594 Issued in MI

Practice address

4273 Corporate Dr
Mt Pleasant, MI 48858-5321

Phone

(989) 953-4357

NPI assigned

Jun 30, 2021

Last updated

Nov 1, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Michigan Therapeutic Consultants PC

  • Methadone Clinic
  • Mt Pleasant, MI
  • NPI 1598932253
  Medicare reassignment
• BHG Lxxxiii, LLC

  dba BHG Medical Services - Michigan

  • Multi-Specialty Clinic/Center
  • Mt Pleasant, MI
  • NPI 1922712009
  NPD (past)

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1154991156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 STONEY CREEK LN",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488588805",
            "telephone_number": "989-944-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 CORPORATE DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585321",
            "telephone_number": "989-953-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARBELL",
        "first_name": "COREY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaelyn Skyler Talaski
• Samantha M Talbot, LLMSW
• Darby Elizabeth Tallon, LCSW
• Alyssa Lynn Tank
• Anjle Tank
• Pamela J Tarras, ARNP
• Dylan D Tasson, DPT
• Renny Hemsley Tatchell, PHD, CCC-SLP
• Jessica Marie Taylor, OTD, OTRL
• Kristen Marie Telfor, NP-C

• Physician Assistant in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.