Individual provider Active NPI

Pamela Corkern, ARNP

  • Family Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1760866016
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9272460 Issued in FL
Practice address
1901 SE 18TH Ave Ste 400
Ocala, FL 34471
Phone
(352) 732-8905
Fax
(352) 732-2440
NPI assigned
Jul 16, 2015
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9272460 FL Primary

Addresses

Primary practice location

1901 SE 18TH Ave Ste 400
Ocala, FL 34471

Mailing address

1901 SE 18TH Ave Ste 400
Ocala, FL 34471-8213
Phone (352) 732-8905

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gastroocala@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151109002268 FL Practitioner - Nurse Practitioner 6901116698 Reassigns benefits to 4 organizations

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
Endoscopy Center of Ocala IncGroup PAC ID 2466448709, 19 clinicians

Practice addresses (Care Compare)

1901 SE 18TH Ave
Suite 400
Ocala, FL 34471-8213
Phone (352) 732-8905

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9272460FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Diseases Associates of North Central Florida LLC CurrentSince Aug 22, 2017 Accepting new patients
Pulmonary Physicians P a CurrentSince Jul 13, 2015 Accepting new patients
Inpatient Consultants of Florida, Inc CurrentSince Nov 1, 2016 Accepting new patients
Inpatient Consultants of Florida Inc CurrentSince Nov 1, 2016 Accepting new patients
Endoscopy Center of Ocala Inc CurrentSince Jul 30, 2018 Accepting new patients
Ocala Medical and Infectious Disease Associates PA PastSince Aug 22, 2017 Accepting new patients

Locations

1150 SE 18th Pl
Ocala, FL 34471
Phone (352) 732-8905

1901 SE 18th Ave
Ste 400
Ocala, FL 34471
Phone (352) 620-0070

3306 SW 26th Ave
Ste 104
Ocala, FL 34471
Phone (352) 622-2020

6041 SW 73rd Street Rd
Ocala, FL 34476
Phone (352) 369-2040

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222

Organizations & group practices 6

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 2

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1760866016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE STE 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718213",
            "telephone_number": "352-732-8905",
            "fax_number": "352-732-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 SE 18TH AVE STE 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-732-8905",
            "fax_number": "352-732-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKERN",
        "first_name": "PAMELA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9272460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gastroocala@directaddress.net",
            "affiliation": "N",
            "address_1": "1901 SE 18th Ave Ste 400",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344718213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.