Individual provider Active NPI

Cori Ann Sparks, PA-C

  • Physician Assistant
  • Corpus Christi, TX
National Provider Identifier
1417564758
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13780 Issued in TX
Practice address
601 Texan TRL Ste 300
Corpus Christi, TX 78411-2549
Phone
(361) 854-0811
Fax
(361) 806-5040
NPI assigned
Sep 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13780 TX Primary

Addresses

Primary practice location

601 Texan TRL Ste 300
Corpus Christi, TX 78411-2549

Mailing address

601 Texan TRL Ste 300
Corpus Christi, TX 78411-2549
Phone (361) 854-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20201014000905 TX Practitioner - Physician Assistant 2163842022 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Dermatology PLLCGroup PAC ID 6305092859, 12 clinicians

Practice addresses (Care Compare)

400 Enterprise Blvd BLDG
Suite 2
Corpus Christi, TX 78411
Phone (361) 882-5560

4141 S Staples St
Suite 300
Corpus Christi, TX 78411-0002
Phone 36188255601130

Merit-based Incentive Payment System (MIPS)

Final score
74.77 of 100Reported as group
Quality
51.47
Promoting interoperability
88
Improvement activities
40
Cost
74.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Corpus Christi Physician Assistant CurrentSince Oct 5, 2020 Accepting new patients
Orthopedic Associates of Corpus Christi CurrentSince Oct 5, 2020 Accepting new patients
Wellmed Medical Group, PA Past Accepting new patients

Locations

601 Texan Trl
Ste 300
Corpus Christi, TX 78411
Phone (361) 887-2900

5917 Crosstown Expy
#286
Corpus Christi, TX 78417
Phone (361) 854-1454

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1417564758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112549",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TEXAN TRL STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112549",
            "telephone_number": "361-854-0811",
            "fax_number": "361-806-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "CORI",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.