Individual provider Active NPI

Corrie Elizabeth Hansen, DNP, FNP-BC

  • Primary Care Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1689284820
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5013381 Issued in NC
Practice address
1700 Tarboro St W Ste 100
Wilson, NC 27893-3481
Phone
(252) 399-5314
Fax
(252) 399-5315
NPI assigned
Aug 3, 2020
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5013381 NC Primary

Addresses

Primary practice location

1700 Tarboro St W Ste 100
Wilson, NC 27893-3481

Mailing address

1705 Tarboro St SW
Wilson, NC 27893-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200814001651 NC Practitioner - Nurse Practitioner 3072939529 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

388 Venture Dr
Suite 1
Smithfield, NC 27577-4775
Phone (919) 938-0811

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Med First Immediate Care & Family Practice, PA Single Specialty CurrentSince Jan 31, 2024 Accepting new patients
DLP Wilson Physician Practices LLC Single Specialty CurrentSince Sep 7, 2020 Accepting new patients
DLP Wilson Physician Practices LLC CurrentSince Sep 7, 2020 Accepting new patients

Locations

609 Richlands Hwy
Ste 6
Jacksonville, NC 28540
Phone (910) 455-7888

1616 E Millbrook Rd
Ste 110
Raleigh, NC 27609
Phone (919) 341-4016

388 Venture Dr
Ste 1
Smithfield, NC 27577
Phone (919) 209-0796

1700 Tarboro St W
Ste 100
Wilson, NC 27893
Phone (252) 399-5300

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2605 Forest Hills Rd SW
Ste A
Wilson, NC 27893
Phone (252) 243-0043

Interoperability endpoints

  • Direct secure messaging: corrie.hansen.1@1905.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1689284820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 TARBORO ST SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TARBORO ST W STE 100",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933481",
            "telephone_number": "252-399-5314",
            "fax_number": "252-399-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "CORRIE",
        "middle_name": "ELIZABETH",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5013381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.