Individual provider Active NPI

Maureen Allcorn, APRN

  • Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1285448944
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11037423 Issued in FL
Practice address
2631 Centennial Blvd Ste 100
Tallahassee, FL 32308-0591
Phone
(850) 877-8539
Fax
(850) 877-6674
NPI assigned
Feb 4, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11037423 FL Primary

Addresses

Primary practice location

2631 Centennial Blvd Ste 100
Tallahassee, FL 32308-0591

Mailing address

2631 Centennial Blvd Ste 100
Tallahassee, FL 32308-0591
Phone (850) 877-8539

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
I20250310003275 FL Practitioner - Nurse Practitioner 3375064009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

2623 Centennial Blvd
Suite 102
Tallahassee, FL 32308-0601
Phone (850) 531-8346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11037423FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic & Vascular Surgical Associates PA Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients

Locations

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

801 E 6th St
Ste 205
Panama City, FL 32401
Phone (850) 785-3185

4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619

2623 Centennial Blvd
Ste 101
Tallahassee, FL 32308
Phone (850) 270-7374

2623 Centennial Blvd
Ste 102
Tallahassee, FL 32308
Phone (850) 531-8346

2631 Centennial Blvd
Ste 100
Tallahassee, FL 32308
Phone (850) 877-8539

Organizations & group practices 1

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1285448944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 CENTENNIAL BLVD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080591",
            "telephone_number": "850-877-8539",
            "fax_number": "850-877-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631 CENTENNIAL BLVD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080591",
            "telephone_number": "850-877-8539",
            "fax_number": "850-877-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLCORN",
        "first_name": "MAUREEN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11037423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.