Corinne N Roller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601009624 Issued in MI

Practice address

8450 N 32ND St
Richland, MI 49083-9418

Phone

(269) 552-2500

Fax

(269) 552-2545

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12299/brand/1/csg/1/fhir/r4
• Direct secure messaging: corinne.roller.p1@direct.gracehealthmi.nextgenshare.com

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.

• Grace Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Battle Creek, MI
  • NPI 1518945278
  Medicare reassignment NPD
• Grace Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Battle Creek, MI
  • NPI 1942058458
  NPD
• Branch Pediatric&Adolescent Medicinepc

  • Pediatric Adolescent Medicine Physician
  • Coldwater, MI
  • NPI 1497130132
  NPD (past)
• Branch Pediatrics

  • Primary Care Clinic/Center
  • Coldwater, MI
  • NPI 1457893430
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1255972089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SUWANEE ST",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490371044",
            "telephone_number": "269-275-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 N 32ND ST",
            "city": "RICHLAND",
            "state": "MI",
            "postal_code": "490839418",
            "telephone_number": "269-552-2500",
            "fax_number": "269-552-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11320 S M 43 Hwy",
            "address_purpose": "LOCATION",
            "city": "Delton",
            "state": "MI",
            "postal_code": "490469415",
            "country_code": "US",
            "telephone_number": "269-623-5521",
            "fax_number": "269-623-5527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "CORINNE",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601009624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richland Podiatry PC
• Richland Psychology, PLLC
• Richland Village Drug Inc
• Rise Therapy & Wellness LLC
• Julie A Rittenhouse, LMSW
• Tate Rosenhagen, PA-C
• Rebecca Anne Runge, D.O.
• Tom T Saad, M.D.
• Ivana G Sacilotto, MD
• Danielle Elizabeth Samuel, PA-C

• Medical Physician Assistant in Richland, MI
• Providers in Richland, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.