Individual provider Active NPI

Rebecca Corcoran, ARNP, FNP-C

  • Family Nurse Practitioner
  • Port Charlotte, FL
National Provider Identifier
1255724712
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9251386 Issued in FL
Practice address
19700 Cochran Blvd Ste D
Port Charlotte, FL 33948-2032
Phone
(941) 219-5570
Fax
(941) 219-5571
NPI assigned
Mar 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9251386 FL Primary

Addresses

Primary practice location

19700 Cochran Blvd Ste D
Port Charlotte, FL 33948-2032

Mailing address

19700 Cochran Blvd Ste D
Port Charlotte, FL 33948-2032
Phone (941) 219-5570

Other identifiers 1

IdentifierTypeStateIssuer
Y0R0VOtherFLBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150623001315 FL Practitioner - Nurse Practitioner 2860703493 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP9251386FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians, LLC CurrentSince Jun 2, 2025 Accepting new patients
Florida Kidney Physicians , LLC CurrentSince Jun 2, 2025 Accepting new patients
Florida Medical Associates LLC CurrentSince Sep 12, 2022 Accepting new patients
Harbor Medical Group LLC CurrentSince Nov 4, 2018 Accepting new patients
Doctors Health Group of South Florida Inc CurrentSince Sep 23, 2025 Accepting new patients

Locations

3850 Coconut Creek Pkwy
Ste 3
Coconut Creek, FL 33066
Phone (954) 973-9222

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

7353 NW 4th St
Plantation, FL 33317
Phone (954) 581-7171

2852 Tamiami Trl
Ste 1
Port Charlotte, FL 33952

21202 Olean Blvd
Ste C1
Port Charlotte, FL 33952
Phone (941) 889-7440

1931 Tamiami Trl
Ste 46
Port Charlotte, FL 33948
Phone (941) 541-3265

2500 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 766-4122

21202 Olean Blvd
Ste C6
Pt Charlotte, FL 33952
Phone (941) 889-7440

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

1515 Tamiami Trl S
Venice, FL 34285

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1255724712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19700 COCHRAN BLVD STE D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482032",
            "telephone_number": "941-219-5570",
            "fax_number": "941-219-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19700 COCHRAN BLVD STE D",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339482032",
            "telephone_number": "941-219-5570",
            "fax_number": "941-219-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "REBECCA",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-09",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9251386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "Y0R0V",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.