Elizabeth Corrao
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI 1255058889 · NPPES record last updated Jan 26, 2024
Key facts
- NPI
- 1255058889
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 76720 (ID)
- Practice address
- 280 E Corporate Dr Ste 200
Meridian, ID 83642-2953 - Phone
- (208) 283-7314
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Castle Health Care Services Inc
Practice addresses (Care Compare)
6666 Harwin Dr
Suite 155
Houston, TX 77036-2495
Phone (832) 832-3830
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250917004178 | TX | Practitioner - Nurse Practitioner | 2163875097 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akadi Mental Health Services, PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Castle Health Care Services Inc. | Current |
Accepting new patients | |
| Anavota Behavioral Health PLLC | Current |
Accepting new patients |
Locations
914 FM 517 Rd W
Ste 222
Dickinson, TX 77539
Phone (346) 399-9241
6666 Harwin Dr
Ste 155
Houston, TX 77036
Phone (832) 834-3830
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 76720 | ID | Yes |
Addresses
Primary practice location
280 E Corporate Dr Ste 200
Meridian, ID 83642-2953
Mailing address
7587 Froman Ave
Boise, ID 83714-5514
Phone (713) 703-3685
Other providers in Meridian, ID
- Andrea Elizabeth Corliss
- Denise Cornejo-Vucovich
- Jaquelynn Elizabeth Cornelius
- Cornerstone Health PLLC
- Cornerstone Supported Living
- Dianira Renee Cortez
- Luis Javier Cortez II
- Sonja Schaff Cortopassi
- Costco Wholesale Corporation
- Costco Wholesale Corporation
All providers in Meridian, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.