Richard Russell Korbein, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704276402 Issued in MI

Practice address

4701 Towne Centre Rd Ste 202
Saginaw, MI 48604-2800

Phone

(989) 790-2600

Fax

(989) 790-3311

NPI assigned

Oct 31, 2017

Last updated

Mar 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Michigan Vascular Surgery, P.C.Group PAC ID 8729970165, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mid Michigan Vascular Surgery, P.C.

  • Vascular Surgery Physician
  • Saginaw, MI
  • NPI 1649397225
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1407368434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 202",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042800",
            "telephone_number": "989-790-2600",
            "fax_number": "989-790-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 TOWNE CENTRE RD STE 202",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042800",
            "telephone_number": "989-790-2600",
            "fax_number": "989-790-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORBEIN",
        "first_name": "RICHARD",
        "middle_name": "RUSSELL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-31",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704276402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkorbein46067@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "4701 Towne Centre Rd Ste 202",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486042800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Varaprasad Koneru, PHARMACIST
• Krista Ann Konrad
• Kristy Kopec, RECOVERY COACH
• Cody Fredrick Kopenski
• Camryn Koperski
• Emma Korchak
• Ahmad Khalil a Koshak, M.D
• Abigail Marie Kosiara
• Natalie Grace Kosnik, DO
• Austin Lee Kotch

• Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.