Individual provider Active NPI

Madeleine Corbeil, RN,WHNP

  • Nurse Practitioner
  • Brownsville, TX
National Provider Identifier
1700889276
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
606954 Issued in TX
Practice address
1076 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Phone
(956) 544-2001
Fax
(956) 546-4567
NPI assigned
May 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 606954 TX Primary

Addresses

Primary practice location

1076 E Los Ebanos Blvd
Brownsville, TX 78520-9988

Mailing address

1076 E Los Ebanos Blvd
Brownsville, TX 78520-9988
Phone (956) 544-2001

Other identifiers 2

IdentifierTypeStateIssuer
0415846-01MedicaidTX
82N914OtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101209001029 TX Practitioner - Nurse Practitioner 0941497457 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dagoberto Martinez, Mdpa CurrentSince Jul 20, 2010 Accepting new patients

Locations

1076 E Los Ebanos Blvd
Brownsville, TX 78520
Phone (956) 544-2001

95 E Price Rd
Bldg A
Brownsville, TX 78521
Phone (956) 504-6080

3855 Southmost Rd
Brownsville, TX 78521
Phone (956) 465-1193

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1700889276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-544-2001",
            "fax_number": "956-546-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 E LOS EBANOS BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785209988",
            "telephone_number": "956-544-2001",
            "fax_number": "956-546-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBEIL",
        "first_name": "MADELEINE",
        "credential": "RN,WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "606954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415846-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "82N914",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.