Individual provider Active NPI

Cory Ipsen, PA-C

  • Physician Assistant
  • Clovis, CA
National Provider Identifier
1699440958
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
782 Medical Center Dr E Ste 311
Clovis, CA 93611-6892
Phone
(559) 472-4600
NPI assigned
Aug 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 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 Primary

Addresses

Primary practice location

782 Medical Center Dr E Ste 311
Clovis, CA 93611-6892

Mailing address

PO Box 25100
Fresno, CA 93729-5100
Phone (801) 413-9432

Other practice location 1

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211015000275 CA Practitioner - Physician Assistant 2163820523 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
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

6107 N Fresno St
Suite 103
Fresno, CA 93710-8609
Phone (559) 603-7700

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

782 Medical Ctr Dr E
Suite 111
Clovis, CA 93611-6890
Phone (559) 472-4600

782 Medical Ctr Dr E
Suite 311
Clovis, CA 93611-6892
Phone (559) 472-4600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Merit-based Incentive Payment System (MIPS)

Final score
92.04 of 100Reported as group
Quality
78.62
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Sep 7, 2021 Accepting new patients
Community Health Partners CurrentSince Jan 10, 2023 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince May 1, 2025 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince May 1, 2025 Accepting new patients

Locations

1303 E Herndon Ave
Ste 850
Fresno, CA 93720
Phone (559) 450-5672

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

6107 N Fresno St
Ste 103
Fresno, CA 93710
Phone (559) 435-4433

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

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 and National Provider Directory roles.

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1699440958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "801-413-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 MEDICAL CENTER DR E STE 311",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116892",
            "telephone_number": "559-472-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7130 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203347",
            "country_code": "US",
            "telephone_number": "559-326-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IPSEN",
        "first_name": "CORY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.