Individual provider Active NPI

Elisabeth Corbett, PA

  • Physician Assistant
  • Dryden, NY
National Provider Identifier
1669123089
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027932 Issued in NY
Practice address
5 Evergreen St
Dryden, NY 13053
Phone
(607) 844-8181
Fax
(607) 844-4288
NPI assigned
Jan 18, 2022
Last updated
Mar 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027932 NY Primary

Addresses

Primary practice location

5 Evergreen St
Dryden, NY 13053

Mailing address

704 Pickwick Dr FL 2
Vestal, NY 13850-3133
Phone (570) 529-4056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220311000211 NY Practitioner - Physician Assistant 7315332228 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians

Practice addresses (Care Compare)

1113 Nys Rte
Suite 13
Cortland, NY 13045-3542
Phone (607) 428-8004

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. Physician Assistant Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Aug 14, 2023 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Mar 14, 2022 Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

500 5th Ave
Owego, NY 13827
Phone (607) 687-1122

4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144

Interoperability endpoints

  • Direct secure messaging: ecorbett19815@direct.xtensys.com

Organizations & group practices 4

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 3

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1669123089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 PICKWICK DR FL 2",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503133",
            "telephone_number": "570-529-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 EVERGREEN ST",
            "city": "DRYDEN",
            "state": "NY",
            "postal_code": "13053",
            "telephone_number": "607-844-8181",
            "fax_number": "607-844-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBETT",
        "first_name": "ELISABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dryden, NY

Sources for this page

Verify at the official NPI Registry.