Individual provider Active NPI

Corey Lynne Andrade, PA-C

  • Physician Assistant
  • Iowa City, IA
National Provider Identifier
1285027847
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
094440 Issued in IA
Practice address
3640 Middlebury Rd
Iowa City, IA 52245
Phone
(319) 467-6789
Fax
(319) 467-7400
NPI assigned
Mar 6, 2015
Last updated
Aug 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002420 OH
Physician Assistant 363A00000X 004345 OH
Physician Assistant 363A00000X 1899 NE
Physician Assistant 363A00000X 094440 IA Primary

Addresses

Primary practice location

3640 Middlebury Rd
Iowa City, IA 52245

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009

Other practice location 1

11129 Kenwood Rd
Blue Ash, OH 45242-1817
Phone (513) 891-1622

Other practice location 2

1632 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 384-8822

Other practice location 3

201 S Clinton St Ste 168
Iowa City, IA 52240-4034
Phone (319) 384-8877

Other practice location 4

11129 Kenwood Rd
Blue Ash, OH 45242-1817
Phone (513) 891-1622

Other practice location 5

767 Mormon Trek Blvd
Iowa City, IA 52246-1812
Phone (319) 384-8333

Other practice location 6

2510 Corridor Way Ste 6A
Coralville, IA 52241-7604
Phone (319) 384-8500

Other practice location 7

720 Pacha Pkwy Ste 1
North Liberty, IA 52317-4797
Phone (319) 384-8801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20150408002273 NE Practitioner - Physician Assistant 2668790346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Orthopaedic Center PCGroup PAC ID 2567432461, 65 clinicians

Practice addresses (Care Compare)

575 S 70TH St
Lincoln, NE 68510-2471
Phone (402) 436-2000

6900 A St
Lincoln, NE 68510-4120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.8 of 100Reported as group
Quality
89.76
Promoting interoperability
99
Improvement activities
40
Cost
70.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1899NEMDPhysician Assistant
002420OHMDPhysician Assistant
004345OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Orthopaedic Center PC CurrentSince Jul 1, 2022 Accepting new patients
State University of Iowa Past Accepting new patients
State University of Iowa Past Accepting new patients
State University of Iowa Past Accepting new patients
Bethesda Healthcare, Inc Past Accepting new patients

Locations

575 S 70th St
Ste 200
Lincoln, NE 68510
Phone (402) 436-2000

6900 A St
Ste 100
Lincoln, NE 68510
Phone (402) 436-2000

Interoperability endpoints

  • Direct secure messaging: corey.andrade.1@32860.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1285027847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 MIDDLEBURY RD",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52245",
            "telephone_number": "319-467-6789",
            "fax_number": "319-467-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11129 Kenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452421817",
            "country_code": "US",
            "telephone_number": "513-891-1622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1632 Sycamore St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522406044",
            "country_code": "US",
            "telephone_number": "319-384-8822",
            "fax_number": "319-354-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S Clinton St Ste 168",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522404034",
            "country_code": "US",
            "telephone_number": "319-384-8877",
            "fax_number": "319-384-0603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11129 Kenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452421817",
            "country_code": "US",
            "telephone_number": "513-891-1622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "767 Mormon Trek Blvd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522461812",
            "country_code": "US",
            "telephone_number": "319-384-8333",
            "fax_number": "319-384-8171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 Corridor Way Ste 6A",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522417604",
            "country_code": "US",
            "telephone_number": "319-384-8500",
            "fax_number": "319-338-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Pacha Pkwy Ste 1",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523174797",
            "country_code": "US",
            "telephone_number": "319-384-8801",
            "fax_number": "319-384-8811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "COREY",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "002420",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "004345",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1899",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "094440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.