Individual provider Active NPI

Mario Corpuz, NP

  • Acute Care Nurse Practitioner
  • Abington, MA
National Provider Identifier
1649529033
Registry record updated Jul 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
259608 Issued in MA
Practice address
536 Washington St
Abington, MA 02351
Phone
(781) 871-3773
NPI assigned
Aug 31, 2012
Last updated
Jul 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN259608 MA
Acute Care Nurse Practitioner 363LA2100X 259608 MA Primary

Addresses

Primary practice location

536 Washington St
Abington, MA 02351

Mailing address

536 Washington Street
Abington, MA 02351
Phone (781) 871-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160708001155 MA Practitioner - Nurse Practitioner 2163714379 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
259608MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Hospital Inpatient Specialists PLLC CurrentSince Jul 1, 2016 Accepting new patients
Winchester Lahey Inpatient Specialists PLLC CurrentSince Dec 1, 2017 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Jan 1, 2025 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Grace Medical PC CurrentSince Jul 18, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 31, 2019 Accepting new patients
Ipc Hospitalists of New England, P.C. Acute Care Current Accepting new patients
Ipc Hospitalists of New England PC CurrentSince Nov 21, 2016 Accepting new patients
Angels Neurological Centers PC CurrentSince May 31, 2016 Accepting new patients
Jose R. Gutierrez MD PC CurrentSince Jul 7, 2025 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Ipc Hospitalists of New England, P.C. Acute Care CurrentSince Nov 21, 2016 Accepting new patients
Monica a Gobran DMD PC Past Accepting new patients
High Point Treatment Center Inc. Past Accepting new patients

Locations

277 Washington St
Abington, MA 02351
Phone (781) 871-0200

536 Washington St
Abington, MA 02351
Phone (781) 870-3773

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 Route 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

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467417600000",
    "number": "1649529033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 WASHINGTON STREET",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "02351",
            "telephone_number": "781-871-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 WASHINGTON ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "02351",
            "telephone_number": "781-871-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPUZ",
        "first_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2016-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN259608",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "259608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, MA

Sources for this page

Verify at the official NPI Registry.