Active NPI
Corina I. Procell, MD
- Family Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DR0060934
- Practice address
- 5550 Wyoming Blvd NE
Albuquerque, NM 87109 - Phone
- (505) 462-6600
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 97126 | NM | |
| Family Medicine Physician | 207Q00000X | DR0060934 | CO | Primary |
Addresses
Primary practice location
5550 Wyoming Blvd NE
Albuquerque, NM 87109
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-5356
Other practice location 1
6104 Habitat Dr Apt 3
Boulder, CO 80301-5520
Phone (505) 321-6129
Other practice location 2
5901 Harper Dr NE
PMG Urgent Care
Albuquerque, NM 87109-3587
Phone (505) 823-8233
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q4675 | Medicaid | NM |
Other names 1
- Corina Procell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5550 Wyoming Blvd NE
Albuquerque, NM 87109-3167
Phone (505) 462-6600
Hospital & facility affiliations
- Luna Vista Home Healthcare, LLC
- Ambercare Home Health
- Presbyterian Home Healthcare
- Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.68 of 100
- Quality
- 82.35
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR0060934 | CO | MD | Family Medicine Physician |
| 97126 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Presbyterian Healthcare Services | Family Medicine | Current | Accepting new patients |
| Presbyterian Healthcare Services | Current | Accepting new patients | |
| Presbyterian Healthcare Services | Past | Accepting new patients |
Locations
5901 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 823-8233
5550 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 462-6600
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
Interoperability endpoints
- cprocell10839@direct.phs.org
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
Family Medicine
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Rural Acute Care Hospital
- Espanola, NM
- NPI 1154307593
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Belen, NM
- NPI 1336117621
-
- Home Health Agency
- Albuquerque, NM
- NPI 1982011631
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- Home Health Agency
- Albuquerque, NM
- NPI 1881670214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1720172117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-5356",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 WYOMING BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-462-6600"
}
],
"practiceLocations": [
{
"address_1": "6104 Habitat Dr Apt 3",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803015520",
"country_code": "US",
"telephone_number": "505-321-6129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5901 Harper Dr NE",
"address_2": "PMG URGENT CARE",
"address_purpose": "LOCATION",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871093587",
"country_code": "US",
"telephone_number": "505-823-8233",
"fax_number": "505-823-8243",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROCELL",
"first_name": "CORINA",
"middle_name": "I.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "97126",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "DR0060934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q4675",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CORINA",
"last_name": "PROCELL",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.