Individual provider Active NPI

Jennifer Anne Corrales, AG-ACNP

  • Acute Care Nurse Practitioner
  • Plano, TX
National Provider Identifier
1780109553
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP134788 Issued in TX
Practice address
6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone
(972) 378-9560
Fax
(844) 290-4363
NPI assigned
Aug 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP134788 TX Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 536
Plano, TX 75093-8137

Mailing address

6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone (972) 378-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171115002979 TX Practitioner - Nurse Practitioner 5294091716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartplace PLLCGroup PAC ID 2769386473, 90 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Suite 536
Plano, TX 75093-8137
Phone (972) 378-9560

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
75.09
Promoting interoperability
100
Improvement activities
40
Cost
79.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP134788TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Aug 8, 2017 Accepting new patients
Heartplace, PLLC CurrentSince Aug 8, 2017 Accepting new patients
Heartplace, PLLC Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

16980 Dallas Pkwy
Ste 200
Dallas, TX 75248
Phone (214) 343-8565

6124 W Parker Rd
Ste 536
Plano, TX 75093
Phone (972) 378-9560

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • Direct secure messaging: jennifer.corrales@ushv.eclinicaldirectplus.com
  • Direct secure messaging: jennifer.corrales.1@14273.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4

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.

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": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1780109553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRALES",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-13",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP134788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.