NPIMap

Debra A. Corbett, P.A.

Individual provider Active NPI Physician Assistant · Franklin, WI

NPI 1174567945 · NPPES record last updated Nov 30, 2021

Key facts

NPI
1174567945
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
862 (WI)
Practice address
9200 W Loomis Rd
Suite 101
Franklin, WI 53132-8887
Phone
(414) 529-9300
Fax
(414) 529-9337
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 22

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 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc. (1,107 clinicians)

Practice addresses (Care Compare)

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

9200 W Loomis Rd
Franklin, WI 53132-8887
Phone (414) 529-9200

Hospital & facility affiliations

  • Aurora St Lukes Medical Center Hospital · Milwaukee, WI · CCN 520138
  • West Allis Memorial Hospital Hospital · West Allis, WI · CCN 520139

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040211001211 WI Practitioner - Physician Assistant 2860386612 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare Inc Current
since Sep 1, 2008		 Accepting new patients
Aurora Advanced Healthcare, Inc. Current
since Sep 1, 2008		 Accepting new patients
Commonwealth Medical Group, LLC Physician Assistant Past Accepting new patients

Locations

9200 W Loomis Rd
Ste 101
Franklin, WI 53132
Phone (414) 529-9300

7400 W Rawson Ave
Ste 143
Franklin, WI 53132
Phone (414) 425-7380

9200 W Loomis Rd
Franklin, WI 53132
Phone (414) 529-9200

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

Interoperability endpoints

  • Direct secure messaging: dcorbett427@direct.myadvocateaurora.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 862 WI Yes

Addresses

Primary practice location

9200 W Loomis Rd
Suite 101
Franklin, WI 53132-8887

Mailing address

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

Other identifiers

IdentifierTypeStateIssuer
110169307MedicaidWI
P00705302OtherWIRR MEDICARE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dcorbett427@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 30, 2021.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1174567945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 W GOOD HOPE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532092042",
            "telephone_number": "414-352-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W LOOMIS RD",
            "address_2": "SUITE 101",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328887",
            "telephone_number": "414-529-9300",
            "fax_number": "414-529-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "DEBRA",
        "middle_name": "A.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110169307",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00705302",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dcorbett427@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9200 W Loomis Rd",
            "address_2": "Suite 101",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328887",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "9200 W Loomis Rd",
            "address_2": "Suite 101",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Franklin, WI

All providers in Franklin, WI · Physician Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.