Individual provider Active NPI

Corrine Lyn Anderson, PA-C

  • Physician Assistant
  • New Castle, PA
National Provider Identifier
1679688287
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA052090 Issued in PA
Practice address
3410 Wilmington Rd
New Castle, PA 16105-3210
Phone
(724) 658-7300
NPI assigned
Aug 21, 2006
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2365 OH
Physician Assistant 363A00000X MA052090 PA Primary

Addresses

Primary practice location

3410 Wilmington Rd
New Castle, PA 16105-3210

Mailing address

3410 Wilmington Rd
New Castle, PA 16105-3210
Phone (724) 658-7300

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000737 PA Practitioner - Physician Assistant 3476525353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

5115 Centre Ave
FL 3
Pittsburgh, PA 15232-1301
Phone (412) 235-1020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.81 of 100Reported as group
Quality
42.46
Improvement activities
40
Cost
76.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2365OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ars Treatment Centers, P.C. CurrentSince Jun 29, 2019 Accepting new patients
Oncology Hematology Association Inc CurrentSince Apr 15, 2019 Accepting new patients
Oncology Hematology Association CurrentSince Apr 15, 2019 Accepting new patients
Heritage Valley Medical Group, Inc. CurrentSince Apr 25, 2005 Accepting new patients
Northside Surgical Professional Services LLC PastSince Aug 15, 2015 Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

220 S Main St
Ste A
Butler, PA 16001

2317 E Westmoreland St
Philadelphia, PA 19134
Phone (215) 291-3115

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

55 Beattie Pl
Ste 810
Greenville, SC 29601
Phone (864) 527-3145

Organizations & group practices 5

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 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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1679688287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053210",
            "telephone_number": "724-658-7300",
            "fax_number": "724-658-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 WILMINGTON RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161053210",
            "telephone_number": "724-658-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CORRINE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "2365",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.