Individual provider Active NPI

Jacob R Corbin

  • Critical Care Medicine Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1720534068
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
SP016133 Issued in PA
Practice address
200 Lothrop Street (Upmc Presby- CCM Office)
6 Floor Scaife Hall
Pittsburgh, PA 15232
Phone
(903) 821-5827
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X SP016133 PA Primary

Addresses

Primary practice location

200 Lothrop Street (Upmc Presby- CCM Office)
6 Floor Scaife Hall
Pittsburgh, PA 15232

Mailing address

205 Lehigh Ave Apt 1
Shadyside, PA 15232-1725
Phone (903) 821-5827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, CT, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170109002786 PA Practitioner - Nurse Practitioner 4082995899 Reassigns benefits to 1 organization
I20200522002278 NY Practitioner - Nurse Practitioner 4082995899 Reassigns benefits to 1 organization
I20200925000686 CT Practitioner - Nurse Practitioner 4082995899
I20231117000977 MI Practitioner - Nurse Practitioner 4082995899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical PracticesGroup PAC ID 1658427042, 286 clinicians

Practice addresses (Care Compare)

31 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 683-5510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP016133PAMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Oct 31, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 31, 2016 Accepting new patients
Lakeland Medical Practices CurrentSince Nov 3, 2023 Accepting new patients
Lakeland Medical Practices CurrentSince Nov 3, 2023 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jan 27, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jan 27, 2020 Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

31 N Saint Joseph Ave
Niles, MI 49120
Phone (269) 428-2417

3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

200 Lothrop St
Ofc
Pittsburgh, PA 15213
Phone (903) 821-5827

3550 Ter St
Pittsburgh, PA 15261
Phone (412) 647-8977

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1720534068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LEHIGH AVE APT 1",
            "city": "SHADYSIDE",
            "state": "PA",
            "postal_code": "152321725",
            "telephone_number": "903-821-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP STREET (UPMC PRESBY- CCM OFFICE)",
            "address_2": "6 FLOOR SCAIFE HALL",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15232",
            "telephone_number": "903-821-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "JACOB",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "PA",
            "license": "SP016133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.