Active NPI
Mary Anne Corder, RN,MSN,FNP-C
- Family Nurse Practitioner
- Toledo, OH
National Provider Identifier
1568676807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP-06461
- Practice address
- 2940 N McCord Rd
Toledo, OH 43615-1753 - Phone
- (419) 842-3000
- Fax
- (419) 842-3042
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP-06461 | OH | Primary |
Addresses
Primary practice location
2940 N McCord Rd
Toledo, OH 43615-1753
Mailing address
2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2241121 | Medicaid | OH | |
| CONP81401 | Other | OH | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcorder13403@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP-06461 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Toledo Physicians, LLC | Past | Accepting new patients | |
| University of Toledo Physicians LLC | Past | Accepting new patients | |
| Emergency Physicians of Northwest Ohio Inc. | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Observation Physicians of Northwest Ohio LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/9641/brand/2/csg/1/fhir/r4
- mcorder13403@direct.promedica.org
Organizations & group practices 6
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.
-
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MI
-
- Emergency Medicine Physician
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- NPI 1043274418
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
-
- Sports Medicine (Family Medicine) Physician
- Toledo, OH
- NPI 1215240676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1568676807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 N MCCORD RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151753",
"telephone_number": "419-842-3000",
"fax_number": "419-842-3042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 N MCCORD RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151753",
"telephone_number": "419-842-3000",
"fax_number": "419-842-3042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDER",
"first_name": "MARY",
"middle_name": "ANNE",
"credential": "RN,MSN,FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "NP-06461",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2241121",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CONP81401",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcorder13403@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.