Individual provider Active NPI

Opal Corell, FNP-BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1245691898
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173337 Issued in VA
Practice address
Carebridge Medical Group
926 Main Street
Nashville, TN 37206
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Mar 10, 2016
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 500015429 DC
Family Nurse Practitioner 363LF0000X 35850 TN
Family Nurse Practitioner 363LF0000X APRN11029676 FL
Family Nurse Practitioner 363LF0000X 0035917 OH
Family Nurse Practitioner 363LF0000X NP002036 GA
Family Nurse Practitioner 363LF0000X AC006338 MD
Family Nurse Practitioner 363LF0000X 1153191 TX
Family Nurse Practitioner 363LF0000X 5020067 NC
Family Nurse Practitioner 363LF0000X 28212 SC
Family Nurse Practitioner 363LF0000X 0024173337 VA Primary
Family Nurse Practitioner 363LF0000X 875857 NV
Family Nurse Practitioner 363LF0000X 353978 NY

Addresses

Primary practice location

Carebridge Medical Group
926 Main Street
Nashville, TN 37206

Mailing address

3076 Huell Matthews Hwy
South Boston, VA 24592-7112
Phone (434) 420-3020

Other practice location 1

3610 King St Ste C
Alexandria, VA 22302-1908
Phone (703) 879-6214

Other practice location 2

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (877) 291-2560

Other practice location 3

4660 Wilkens Ave Ste 100
Baltimore, MD 21229-4899
Phone (410) 247-0782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160614001656 VA Practitioner - Nurse Practitioner 6002107562 Reassigns benefits to 1 organization
I20240923001435 DC Practitioner - Nurse Practitioner 6002107562 Reassigns benefits to 1 organization
I20241029002167 MD Practitioner - Nurse Practitioner 6002107562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

4660 Wilkens Ave
Suite 100
Baltimore, MD 21229-4899
Phone (410) 247-0782

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
500015429DCMDFamily Nurse Practitioner
APRN11029676FLMDFamily Nurse Practitioner
NP002036GAMDFamily Nurse Practitioner
AC006338MDMDFamily Nurse Practitioner
5020067NCMDFamily Nurse Practitioner
875857NVMDFamily Nurse Practitioner
353978NYMDFamily Nurse Practitioner
0035917OHMDFamily Nurse Practitioner
28212SCMDFamily Nurse Practitioner
35850TNMDFamily Nurse Practitioner
1153191TXMDFamily Nurse Practitioner
0024173337VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mep Health, LLC CurrentSince Aug 23, 2021 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 24, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jun 24, 2024 Accepting new patients
Carebridge Medical Group Family Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

3007 Tilden St NW
Ste 5N
Washington, DC 20008

4660 Wilkens Ave
Ste 100
Baltimore, MD 21229
Phone (410) 247-0782

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

3610 King St
#C
Alexandria, VA 22302
Phone (571) 977-5663

500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000

Interoperability endpoints

  • Direct secure messaging: opal.corell@237407481626628.direct.elationemr.com

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, 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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1245691898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3076 HUELL MATTHEWS HWY",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245927112",
            "telephone_number": "434-420-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAREBRIDGE MEDICAL GROUP",
            "address_2": "926 MAIN STREET",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37206",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 King St Ste C",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223021908",
            "country_code": "US",
            "telephone_number": "703-879-6214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Columbia Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200092001",
            "country_code": "US",
            "telephone_number": "877-291-2560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 Wilkens Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212294899",
            "country_code": "US",
            "telephone_number": "410-247-0782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORELL",
        "first_name": "OPAL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "500015429",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35850",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029676",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0035917",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "NP002036",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC006338",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1153191",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020067",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "28212",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173337",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "875857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.