James Carroll Corder, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008146 Issued in KY

Practice address

2157 S Hwy 27
Stearns, KY 42647

Phone

(606) 376-9700

Fax

(606) 376-9703

NPI assigned

Jul 15, 2013

Sex

Male

Sole proprietor

No

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.

• Hope Primary & Urgent Care of Somerset PLLC

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1194521005

  KY

  Medicare reassignment Care Compare group NPD Authorized official
• Hope Primary & Urgent Care of Williamsburg PLLC

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1851058028

  KY

  Medicare reassignment Care Compare group NPD Authorized official
• Hope Primary Care of Stearns PLLC

  • Rural Health Clinic/Center
  • Stearns, KY
  • NPI 1821951286

  KY

  Medicare reassignment NPD Authorized official
• Hope Primary & Urgent Care PLLC

  • Rural Health Clinic/Center
  • Stearns, KY
  • NPI 1134606403

  KY

  Medicare reassignment Care Compare group
• Fast Pace Kentucky PLLC

  • Family Nurse Practitioner
  • Franklin, KY
  • NPI 1457716706

  KY

  Medicare reassignment

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hope Primary & Urgent Care of Somerset PLLC

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1194521005

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Hope Primary & Urgent Care of Williamsburg PLLC

  • Rural Health Clinic/Center
  • Williamsburg, KY
  • NPI 1851058028

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership
• Hope Primary & Urgent Care PLLC

  • Rural Health Clinic/Center
  • Stearns, KY
  • NPI 1134606403

  5% Or Greater Direct Ownership Interest

  CMS ownership

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hope Primary and Urgent Care PLLC 11 clinicians

Hope Primary and Urgent Care of Somerset PLLC 2 clinicians

Hope Primary and Urgent Care of Williamsburg PLLC 9 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in KY

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

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2022.

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1700227147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2157 S HWY 27",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "42647",
            "telephone_number": "606-376-9700",
            "fax_number": "606-376-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2157 S HWY 27",
            "city": "STEARNS",
            "state": "KY",
            "postal_code": "42647",
            "telephone_number": "606-376-9700",
            "fax_number": "606-376-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2157 S Hwy 27",
            "address_purpose": "LOCATION",
            "city": "Stearns",
            "state": "KY",
            "postal_code": "42647",
            "country_code": "US",
            "telephone_number": "606-376-9700",
            "fax_number": "606-376-9703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "896 S Highway 25W",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "40769",
            "country_code": "US",
            "telephone_number": "606-376-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDER",
        "first_name": "JAMES",
        "middle_name": "CARROLL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-15",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3008146",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KBN ADVANCED PRACTICE NURSE PRACTITIONER",
            "identifier": "3008146",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F06131217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Ada Ball, MA
• Rhonda Michelle Bryant, APRN
• Burgess Drug Store Inc
• Burgess Drug Store Inc 3
• Haley Kristine Cross, MSN, APRN, FNP-C
• Cumberland Family Medical Center Inc
• Robin M Gregory
• Hope Primary & Urgent Care PLLC
• Hope Primary Care of Stearns PLLC

• All providers in Stearns, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.