Mario Corpuz, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Abington, MA
NPI 1649529033 · NPPES record last updated Jul 2, 2016
Key facts
- NPI
- 1649529033
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 259608 (MA)
- Practice address
- 536 Washington St
Abington, MA 02351 - Phone
- (781) 871-3773
- NPI assigned
- Aug 31, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Lifespan Physician Group of Massachusetts Inc
Practice addresses (Care Compare)
88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000
Hospital & facility affiliations
- Brown University Health Morton Hospital
- Rhode Island Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160708001155 | MA | Practitioner - Nurse Practitioner | 2163714379 | Reassigns benefits to 9 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN259608 | MA | MD | Registered Nurse |
| 259608 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England, P.C. | Acute Care | Current |
Accepting new patients |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| Ipc Hospitalists of New England, P.C. | Acute Care | Current | Accepting new patients |
| Lifespan Physician Group of Massachusetts Inc | Current |
Accepting new patients | |
| Alignmed Partners, PC | Current |
Accepting new patients | |
| Winchester Hospital Inpatient Specialists PLLC | Current |
Accepting new patients | |
| Grace Medical PC | Current |
Accepting new patients | |
| Winchester Lahey Inpatient Specialists PLLC | Current |
Accepting new patients | |
| Ipc Hospitalists of New England PC | Current |
Accepting new patients | |
| Angels Neurological Centers PC | Current |
Accepting new patients | |
| Jose R. Gutierrez MD PC | Current |
Accepting new patients | |
| Steward Medical Group, Inc | Current |
Accepting new patients | |
| High Point Treatment Center Inc. | Past | Accepting new patients | |
| Monica a Gobran DMD PC | Past | Accepting new patients |
Locations
536 Washington St
Abington, MA 02351
Phone (781) 870-3773
277 Washington St
Abington, MA 02351
Phone (781) 871-0200
1 Great Rd
Acton, MA 01720
Phone (978) 263-9101
89 Morton St
Andover, MA 01810
Phone (978) 475-0944
95 Commercial St
Braintree, MA 02184
Phone (781) 848-0596
11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442
736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762
45 Dan Rd
Canton, MA 02021
Phone (781) 318-3609
290 Littleton Rd
Unit 3
Chelmsford, MA 01824
Phone (978) 258-4734
111 Orient Ave
East Boston, MA 02128
Phone (617) 569-1200
100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157
67 Union St
Natick, MA 01760
Phone (508) 383-1104
531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255
111 Huntoon Memorial Hwy
Rochdale, MA 01542
Phone (508) 892-4858
37 State Highway 6A
Sandwich, MA 02563
Phone (508) 888-8222
88 Washington St
Taunton, MA 02780
Phone (508) 828-7000
41 Highland Ave
Winchester, MA 01890
Phone (781) 756-2000
255 Park Ave
Ste 800
Worcester, MA 01609
Phone (508) 753-3200
1 Harbison Way
Ste 222
Columbia, SC 29212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN259608 | MA | |
| Acute Care Nurse Practitioner | 363LA2100X | 259608 | MA | Yes |
Addresses
Primary practice location
536 Washington St
Abington, MA 02351
Mailing address
536 Washington Street
Abington, MA 02351
Phone (781) 871-3773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110113802A | Medicaid | MA |
Other providers in Abington, MA
- Kaitlyn Michelle Clark
- Collaborate Care Applied Behavioral Analysis LLC
- Sean Thomas Collins
- Concierge With Compassion LLC
- Hannah Cooperman
- Kristine Costa
- Michael Joseph Costantino
- Cristina Doula Services LLC
- CVS Pharmacy Inc.
- Kathleen Daggett
All providers in Abington, MA · Acute Care Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.