Individual provider Active NPI

Dawn R Korf, PA-C

  • Medical Physician Assistant
  • Roswell, NM
National Provider Identifier
1427025170
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2018-0089 Issued in AZ
Practice address
400 N Pennsylvania Ave Ste 920
Roswell, NM 88201-4779
Phone
(575) 208-2509
Fax
(575) 265-1700
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 090408 IA
Medical Physician Assistant 363AM0700X 59062 MT
Medical Physician Assistant 363AM0700X PA2018-0089 AZ Primary

Addresses

Primary practice location

400 N Pennsylvania Ave Ste 920
Roswell, NM 88201-4779

Mailing address

400 N Pennsylvania Ave Ste 920
Roswell, NM 88201-4779
Phone (575) 208-2509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20190711000783 NM Practitioner - Physician Assistant 3274807896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Skin Center, LLC.Group PAC ID 6406262708, 3 clinicians

Practice addresses (Care Compare)

400 N Pennsylvania Ave
Suite 920
Roswell, NM 88201-4779
Phone (575) 208-2509

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA2018-0089AZMDMedical Physician Assistant
59062MTMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: dkorf132749@uihcdirect.org
  • Direct secure messaging: dkorf@rscl-nm.direct.office.nextgen.com

Organizations & group practices 1

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1427025170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE STE 920",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014779",
            "telephone_number": "575-208-2509",
            "fax_number": "575-265-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE STE 920",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014779",
            "telephone_number": "575-208-2509",
            "fax_number": "575-265-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORF",
        "first_name": "DAWN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "090408",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "59062",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "PA2018-0089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

Verify at the official NPI Registry.