Priscilla M Correa, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18633 Issued in NE

Practice address

4828 S 24TH St
Omaha, NE 68107-2703

Phone

(402) 731-9100

Fax

(402) 731-1297

NPI assigned

Jan 18, 2006

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

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fernando E Correa MD a Professional CorporationGroup PAC ID 4981843950, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Fernando E Correa, M.D., a Professional Corporation

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1891139507
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1306826375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072703",
            "telephone_number": "402-731-9100",
            "fax_number": "402-731-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 S 24TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681072703",
            "telephone_number": "402-731-9100",
            "fax_number": "402-731-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "PRISCILLA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-18",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "18633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1996959",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080940101",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fernando E Correa, M.D.
• Maria Elena Correa, LIMHP
• Martha Edith Correa
• Michael Andres Correa, DDS
• Penelope Anastasia Correa, CCC-SLP
• Melinda Corrigan
• Lindsay J Corriveau, LIMHP
• Vanessa Cortes-Duarte
• Nicolas W Cortes-Penfield, M.D.
• Esmeralda Cortes

• Family Medicine Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.