Individual provider Active NPI

Jan-Michael B Corella, AG-ACNP

  • Acute Care Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1346841848
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
249250 Issued in AZ
Practice address
10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524
Phone
(480) 882-7490
NPI assigned
Nov 3, 2020
Last updated
Oct 4, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 249250 AZ Primary

Addresses

Primary practice location

10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524

Mailing address

10210 N 92ND St Ste 202
Scottsdale, AZ 85258-4524
Phone (480) 882-7490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210323001765 AZ Practitioner - Nurse Practitioner 6608283411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Suite 202
Scottsdale, AZ 85258-4524
Phone (480) 882-7490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249250AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Apr 12, 2021 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 12, 2021 Accepting new patients

Locations

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

10210 N 92nd St
Ste 202
Scottsdale, AZ 85258
Phone (480) 451-6860

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

9201 E Mountain View Rd
Ste 120
Scottsdale, AZ 85258
Phone (480) 587-6980

Interoperability endpoints

  • Direct secure messaging: jcorella108032@direct.honorhealth.com

Organizations & group practices 3

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 3

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1346841848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584524",
            "telephone_number": "480-882-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 N 92ND ST STE 202",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584524",
            "telephone_number": "480-882-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORELLA",
        "first_name": "JAN-MICHAEL",
        "middle_name": "B",
        "credential": "AG-ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "249250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.