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Individual provider Active NPI

Corey M Meyn, NP

  • Family Nurse Practitioner
  • Sodus, NY
National Provider Identifier
1447886262
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
345428 Issued in NY
Practice address
6341 Ridge Rd
Sodus, NY 14551-9743
Phone
(315) 483-1199
NPI assigned
Mar 13, 2020
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 345428 NY Primary

Addresses

Primary practice location

6341 Ridge Rd
Sodus, NY 14551-9743

Mailing address

PO Box 423
Penn Yan, NY 14527-0423
Phone (315) 531-9102

Other practice location 1

513 W Union St
Newark, NY 14513-1365
Phone (315) 573-7577

Other names 1

  • Corey Bradley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200715001980 NY Practitioner - Nurse Practitioner 2860816451 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FLH Medical PCGroup PAC ID 6507922358, 47 clinicians

Practice addresses (Care Compare)

789 Pre Emption Rd
Suite 600
Geneva, NY 14456-2069
Phone (315) 781-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Community Health Current Accepting new patients
FLH Medical, PC CurrentSince Feb 28, 2022 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
FLH Medical, PC CurrentSince Feb 28, 2022 Accepting new patients
Finger Lakes Community Health CurrentSince May 11, 2020 Accepting new patients
Finger Lakes Community Health CurrentSince May 11, 2020 Accepting new patients
Soldiers & Sailors Memorial Hospital Past Accepting new patients

Locations

8000 Box
Buffalo, NY 14267
Phone (716) 213-0772

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

789 Pre Emption Rd
Ste 600
Geneva, NY 14456
Phone (315) 719-0060

141 Central Ave
Keuka Park, NY 14478
Phone (315) 279-5000

513 W Union St
Newark, NY 14513
Phone (315) 331-3784

1991 Balsley Rd
Seneca Falls, NY 13148
Phone (315) 539-0237

28 Cayuga St
Seneca Falls, NY 13148
Phone (315) 568-4415

6341 Ridge Rd
Sodus, NY 14551
Phone (315) 483-1199

Organizations & group practices 7

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 4

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": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1447886262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145270423",
            "telephone_number": "315-531-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6341 RIDGE RD",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519743",
            "telephone_number": "315-483-1199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 W Union St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131365",
            "country_code": "US",
            "telephone_number": "315-573-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYN",
        "first_name": "COREY",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "345428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COREY",
            "last_name": "BRADLEY",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sodus, NY

Sources for this page

Verify at the official NPI Registry.