Individual provider Active NPI

Teresa Ann Corrigan, DCNP, FNP-BC

  • Family Nurse Practitioner
  • Mission, KS
National Provider Identifier
1386841765
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
338074 Issued in NY
Practice address
5820 Lamar Ave Ste 200
Mission, KS 66202-2655
Phone
(913) 631-6330
Fax
(913) 631-6222
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 338074 NY Primary
Family Nurse Practitioner 363LF0000X AP5136 AZ

Addresses

Primary practice location

5820 Lamar Ave Ste 200
Mission, KS 66202-2655

Mailing address

5820 Lamar Ave Ste 200
Mission, KS 66202-2655
Phone (913) 631-6330

Other identifiers 2

IdentifierTypeStateIssuer
865934MedicaidAZ
07214226MedicaidNY

Other names 1

  • N/a N/a Joss Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, KS, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140130001872 AZ Practitioner - Nurse Practitioner 7517196124 Reassigns benefits to 1 organization
I20221101000750 KS Practitioner - Nurse Practitioner 7517196124 Reassigns benefits to 1 organization
I20230504001809 NY Practitioner - Nurse Practitioner 7517196124

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Dermatology & Mohs Center, PC CurrentSince Oct 1, 2016 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Mark a Meyers Past Accepting new patients
Kansas Medical Clinic, PA Past Accepting new patients

Locations

313 S Beeline Hwy
Payson, AZ 85541
Phone (928) 472-7107

715 S Beeline Hwy
Ste A
Payson, AZ 85541
Phone (928) 468-6607

715 S Beeline Hwy
Payson, AZ 85541
Phone (928) 468-6607

4045 E Bell Rd
Ste 125
Phoenix, AZ 85032
Phone (602) 493-3677

14506 W Granite Valley Dr
Ste 220
Sun City West, AZ 85375
Phone (623) 584-1325

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJICCA

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Medical Clinic PA 50 clinicians

Practice addresses (Care Compare)

5820 Lamar Ave
Suite 200
Mission, KS 66202-2655
Phone (913) 631-6330

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
80.11
Promoting interoperability
97
Improvement activities
40
Cost
72.09

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1386841765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 LAMAR AVE STE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022655",
            "telephone_number": "913-631-6330",
            "fax_number": "913-631-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 LAMAR AVE STE 200",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662022655",
            "telephone_number": "913-631-6330",
            "fax_number": "913-631-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "DCNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "338074",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "865934",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07214226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "JOSS",
            "middle_name": "N/A",
            "credential": "DCNP, FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mission, KS

Sources for this page

Verify at the official NPI Registry.