Individual provider Active NPI

Corey A Piper, APRN

  • Gerontology Nurse Practitioner
  • Fremont, NH
National Provider Identifier
1205933983
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
036290-23 Issued in NH
Practice address
Colonial Poplin Nursing Home
442 Main St
Fremont, NH 03044-3434
Phone
(603) 895-3126
Fax
(603) 895-3662
NPI assigned
Sep 17, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 036290-23 NH Primary

Addresses

Primary practice location

Colonial Poplin Nursing Home
442 Main St
Fremont, NH 03044-3434

Mailing address

32 Brown Ave
Sandown, NH 03873-2450
Phone (603) 978-5999

Other identifiers 1

IdentifierTypeStateIssuer
30340087MedicaidNH

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
I20050928000341 NH Practitioner - Nurse Practitioner 6709811839 Practice locations: Rye, NH; Sandown, NH; Rochester, NH; Gonic, NH; Fremont, NH; Dover, NH

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

442 Main St
Fremont, NH 03044-3434
Phone (603) 895-3126

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Steven B. Patterson, Inc. Past Accepting new patients
As Life Goes on, LLC Past Accepting new patients
Elliot Physicians Network Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1205933983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BROWN AVE",
            "city": "SANDOWN",
            "state": "NH",
            "postal_code": "038732450",
            "telephone_number": "603-978-5999",
            "fax_number": "603-887-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLONIAL POPLIN NURSING HOME",
            "address_2": "442 MAIN ST",
            "city": "FREMONT",
            "state": "NH",
            "postal_code": "030443434",
            "telephone_number": "603-895-3126",
            "fax_number": "603-895-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPER",
        "first_name": "COREY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "036290-23",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30340087",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, NH

Sources for this page

Verify at the official NPI Registry.