Active NPI
Kristin Corbin, APRN
- Family Nurse Practitioner
- Eufaula, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 89146
- Practice address
- 500 Eunice Burns
Eufaula, OK 74432 - Phone
- (918) 689-2547
- NPI assigned
- Sep 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 89146 | OK | |
| Family Nurse Practitioner | 363LF0000X | 89146 | OK | Primary |
Addresses
Primary practice location
500 Eunice Burns
Eufaula, OK 74432
Mailing address
30905 S 220 Rd
Henryetta, OK 74437-8219
Phone (918) 680-1151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190208000603 | OK | Practitioner - Nurse Practitioner | 6204174741 | Reassigns benefits to 3 organizations |
| I20220720000333 | TX | Practitioner - Nurse Practitioner | 6204174741 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Creek Nation Hospital and ClinicsLong Term Care Specialists, Inc
Practice addresses (Care Compare)
10109 E 79TH St
Tulsa, OK 74133-4564
Phone (918) 756-4333
1313 E 20TH St
Okmulgee Indian Health Center
Okmulgee, OK 74447-6303
Phone (918) 591-5700
1800 E Coplin St
Okemah, OK 74859-4642
Phone (918) 623-1424
500 Eunice Burns Rd
Eufaula, OK 74432-4052
Phone (918) 689-2547
5721 NW 132ND St
Oklahoma City, OK 73142-4437
Phone (405) 557-1200
Hospital & facility affiliations
- Heritage Home Care, Inc
- Creek Nation Community Hospital
- Muscogee (Creek) Nation Medical Center
- Council Oak Comprehensive Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89146 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Careconnectmd Oklahoma PC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Value Based Long Term Care J PC | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Long Term Care Specialists, Inc | Current | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
500 Eunice Burns Rd
Eufaula, OK 74432
Phone (918) 618-2168
101 Park Ave
Ste 1300
Oklahoma City, OK 73102
Phone (405) 689-9820
3233 NW 10th St
Oklahoma City, OK 73107
Phone (405) 943-8366
5721 NW 132nd St
Oklahoma City, OK 73142
Phone (405) 557-1200
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
Dept 1467
Tulsa, OK 74182
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Interoperability endpoints
- kcorbin17873@muscogeecreeknation.direct-ci.com
Organizations & group practices 22
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Oklahoma City, OK
- NPI 1497761159
OK
-
- Geriatric Medicine (Internal Medicine) Physician
- Shelton, CT
- NPI 1932931474
OK
-
- Pharmacy
- Okemah, OK
- NPI 1033229992
-
- Ambulatory Surgical Clinic/Center
- Okemah, OK
- NPI 1104516871
-
- Pharmacy
- Okmulgee, OK
- NPI 1154430031
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Tulsa, OK
- NPI 1265004667
-
- Medicare Defined Swing Bed Hospital Unit
- Okmulgee, OK
- NPI 1376972471
-
- Long Term Care Hospital
- Okmulgee, OK
- NPI 1376979955
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Wetumka, OK
- NPI 1407116668
-
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Sapulpa, OK
- NPI 1457460321
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Eufaula, OK
- NPI 1265132633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1780169631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30905 S 220 RD",
"city": "HENRYETTA",
"state": "OK",
"postal_code": "744378219",
"telephone_number": "918-680-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 EUNICE BURNS",
"city": "EUFAULA",
"state": "OK",
"postal_code": "74432",
"telephone_number": "918-689-2547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBIN",
"first_name": "KRISTIN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-26",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "89146",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "89146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.