Individual provider Active NPI

Mikaela Louise Corigliano, PA-C

  • Medical Physician Assistant
  • Newport, WA
National Provider Identifier
1205709441
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
714 W Pine St
Newport, WA 99156-9046
Phone
(509) 447-2441
NPI assigned
Sep 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X WA Primary

Addresses

Primary practice location

714 W Pine St
Newport, WA 99156-9046

Mailing address

714 W Pine St
Newport, WA 99156-9046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20251222001940 WA Practitioner - Physician Assistant 2163917618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pend Oreille County Public Hospital District No 1Group PAC ID 3274431184, 31 clinicians

Practice addresses (Care Compare)

714 W Pine St
Newport, WA 99156-9046
Phone (509) 447-2441

Hospital & facility affiliations

  • Newport Community Hospital Hospital, Newport, WA, CCN 501310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pend Oreille County Public Hospital District No 1 CurrentSince Dec 9, 2025 Accepting new patients
Pend Oreille County Public Hospital District No 1 CurrentSince Dec 9, 2025 Accepting new patients
Pend Oreille County Public Hospital District No 1 Past Accepting new patients

Locations

714 W Pine St
Bldg C
Newport, WA 99156
Phone (509) 447-3139

714 W Pine St
Newport, WA 99156
Phone (509) 447-2441

Organizations & group practices 4

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": "1758672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1205709441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W PINE ST",
            "city": "NEWPORT",
            "state": "WA",
            "postal_code": "991569046",
            "telephone_number": "509-447-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORIGLIANO",
        "first_name": "MIKAELA",
        "middle_name": "LOUISE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, WA

Sources for this page

Verify at the official NPI Registry.