Individual provider Active NPI

Corinna Gross

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1760963839
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60894725 Issued in WA
Practice address
3130 Ellis St
Bellingham, WA 98225-1904
Phone
(360) 734-4404
Fax
(360) 734-7409
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 AP60894725 WA Primary

Addresses

Primary practice location

3130 Ellis St
Bellingham, WA 98225-1904

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (360) 328-4669

Other practice location 1

1500 Primrose Ct
Lynden, WA 98264-9353
Phone (360) 328-4669

Other practice location 2

8844 Benson Rd
Lynden, WA 98264-9787
Phone (360) 318-0260

Other names 1

  • Corinna Stout Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20190327001133 WA Practitioner - Nurse Practitioner 2961742093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians

Practice addresses (Care Compare)

4545 Cordata Pkwy
Bellingham, WA 98226-7263
Phone (360) 738-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.81 of 100Reported as group
Quality
86.48
Promoting interoperability
100
Improvement activities
40
Cost
76.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Aug 5, 2024 Accepting new patients

Locations

4545 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 752-5646

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092

8844 Benson Rd
Lynden, WA 98264
Phone (360) 318-0260

Organizations & group practices 2

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 3

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1760963839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "360-328-4669",
            "fax_number": "360-734-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251904",
            "telephone_number": "360-734-4404",
            "fax_number": "360-734-7409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Primrose Ct",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982649353",
            "country_code": "US",
            "telephone_number": "360-328-4669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8844 Benson Rd",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982649787",
            "country_code": "US",
            "telephone_number": "360-318-0260",
            "fax_number": "360-318-0261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROSS",
        "first_name": "CORINNA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60894725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINNA",
            "last_name": "STOUT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.