Active NPI
Corrine Palotas, CRNP
- Nurse Practitioner
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP016292
- Practice address
- 300 State St FL 4
Erie, PA 16507-1427 - Phone
- (814) 877-5330
- Fax
- (814) 877-5331
- NPI assigned
- Jul 13, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP016292 | PA | Primary |
Addresses
Primary practice location
300 State St FL 4
Erie, PA 16507-1427
Mailing address
300 State St FL 4
Erie, PA 16507-1427
Phone (814) 877-5330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103195614 | Medicaid | PA | |
| 13839972 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP016292 | PA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Spine Specialists of Maryland, LLC | Current | Accepting new patients | |
| Regional Health Services Inc | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
3107 Fairway Dr
Altoona, PA 16602
Phone (814) 949-7280
100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334
2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537
3406 Peach St
Erie, PA 16508
Phone (814) 877-5381
300 State St
Fl 4
Erie, PA 16507
Phone (814) 877-4577
300 State St
Ste 401
Erie, PA 16507
Phone (814) 877-4577
2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203
Interoperability endpoints
- https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4
- corrine.palotas.2@11878.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Erie, PA
- NPI 1174520654
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1669824769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STATE ST FL 4",
"city": "ERIE",
"state": "PA",
"postal_code": "165071427",
"telephone_number": "814-877-5330",
"fax_number": "814-877-5331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STATE ST FL 4",
"city": "ERIE",
"state": "PA",
"postal_code": "165071427",
"telephone_number": "814-877-5330",
"fax_number": "814-877-5331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALOTAS",
"first_name": "CORRINE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP016292",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103195614",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13839972",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.