Erin K Corsa, NP
Individual provider Active NPI Nurse Practitioner · Lively, VA
NPI 1306386974 · NPPES record last updated Mar 2, 2017
Key facts
- NPI
- 1306386974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 0024174608 (VA)
- Practice address
- 36 Lively Oaks Road
Lively, VA 22507 - Phone
- (804) 462-5155
- Fax
- (804) 462-5922
- NPI assigned
- Mar 2, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chesapeake Hospital LLC
Practice addresses (Care Compare)
36 Lively Oaks Rd
Lively, VA 22507
Phone (804) 462-5155
402 N Main St
Kilmarnock, VA 22482-3825
Phone (804) 435-2651
Hospital & facility affiliations
- Brookside Home Health, an Amedisys Company
- Riverside Home Health
- Rappahannock General Hospital
- Bon Secours St Marys Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20170724002025 | VA | Practitioner - Nurse Practitioner | 4688944614 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Hospital LLC | Current |
Accepting new patients |
Locations
8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0024174608 | VA | Yes |
Addresses
Primary practice location
36 Lively Oaks Road
Lively, VA 22507
Mailing address
36 Lively Oaks Road
Lively, VA 22507
Phone (804) 462-5155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C05382 | Other | VA | GROUP PTAN |
Other providers in Lively, VA
- Susan Huss Brooke
- Chesapeake Hospital LLC
- Chesapeake Hospital LLC
- Chesapeake Medical Group, Inc.
- Christine Collins
- Ellen A Kingsbury
- Lively Drug Company Inc
All providers in Lively, VA · Nurse Practitioner in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2017. 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.