Individual provider Active NPI

Corinne M Flaska, DO

  • Family Medicine Physician
  • Saint Joseph, MO
National Provider Identifier
1710186671
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2006015227 Issued in MO
Practice address
105 Far West Dr.,
Ste. 100
Saint Joseph, MO 64506-3514
Phone
(816) 271-8100
Fax
(816) 270-8104
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heartland Regional Medical Center 394 clinicians

Practice addresses (Care Compare)

105 Far W Dr
100 Mosaic Life Care
St Joseph, MO 64506-3514
Phone (816) 271-8110

Hospital & facility affiliations

  • Mosaic Life Care Home Health Home health agency, Saint Joseph, MO, CCN 267064
  • Freudenthal Home Health Home health agency, Saint Joseph, MO, CCN 267644
  • Mosaic Life Care Hospice Hospice, Saint Joseph, MO, CCN 261507
  • Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
  • Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000562 MO Practitioner - Family Practice 1759472889 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
015227MOMDGeneral Practice Dentistry
2006015227MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center Family Medicine CurrentSince Oct 1, 2008 Accepting new patients
Heartland Regional Medical Center CurrentSince Oct 1, 2008 Accepting new patients
Northwest Medical Center Association, Inc CurrentSince Apr 1, 2022 Accepting new patients
Northwest Medical Center Association Inc CurrentSince Apr 1, 2022 Accepting new patients
Heartland Regional Medical Center Past Accepting new patients
Northwest Health Services Inc Family Medicine Past Accepting new patients
Goppert - Trinity Family Care, LLC Family Medicine Past Accepting new patients

Locations

1607 E US Highway 136
Albany, MO 64402
Phone (660) 726-3333

705 N College St
Albany, MO 64402
Phone (660) 726-3941

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

5301 Faraon St
Ste 120
Saint Joseph, MO 64506
Phone (816) 271-6406

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

105 Far West Dr
Ste 100
Saint Joseph, MO 64506
Phone (816) 271-8110

202 E Main St
Stanberry, MO 64489
Phone (660) 783-2092

Interoperability endpoints

  • Direct secure messaging: corinne.ridens-dale@direct.mymlc.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006015227 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

105 Far West Dr.,
Ste. 100
Saint Joseph, MO 64506-3514

Mailing address

105 Far West Dr.,
Ste. 100
Saint Joseph, MO 64506-3514
Phone (816) 271-8115

Other identifiers 3

NPPES NPI Registry
IdentifierTypeStateIssuer
1710186671MedicaidMO
200477790BMedicaidKS
P00688411OtherMORR MEDICARE

Other names 1

NPPES NPI Registry
  • Corinne M Ridens Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2024.

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1710186671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR.,",
            "address_2": "STE. 100",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063514",
            "telephone_number": "816-271-8115",
            "fax_number": "816-271-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DR.,",
            "address_2": "STE. 100",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063514",
            "telephone_number": "816-271-8100",
            "fax_number": "816-270-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLASKA",
        "first_name": "CORINNE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006015227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710186671",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200477790B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00688411",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNE",
            "last_name": "RIDENS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.