Individual provider Active NPI

Renee O Corrigan, P.A.-C.

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1780649913
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2649 Issued in AZ
Practice address
6130 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3698
Phone
(520) 219-8690
Fax
(520) 219-8694
NPI assigned
Apr 19, 2006
Last updated
Sep 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2649 AZ Primary

Addresses

Primary practice location

6130 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3698

Mailing address

6130 N la Cholla Blvd Ste 250
Tucson, AZ 85741-3698
Phone (520) 219-8690

Other identifiers 1

IdentifierTypeStateIssuer
710237MedicaidAZ

Other names 1

  • Renee Green Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rene.corrigan@nwhc.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20041230000341 AZ Practitioner - Physician Assistant 4981662491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2649AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Aug 31, 2018 Accepting new patients
Valley ENT, PC Past Accepting new patients

Locations

6130 N La Cholla Blvd
Ste 250
Tucson, AZ 85741
Phone (520) 219-8690

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Interoperability endpoints

  • Direct secure messaging: rene.corrigan@nwhc.cernerdirect.com
  • Direct secure messaging: renee.corrigan.1@1576.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1780649913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413698",
            "telephone_number": "520-219-8690",
            "fax_number": "520-219-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 N LA CHOLLA BLVD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413698",
            "telephone_number": "520-219-8690",
            "fax_number": "520-219-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "RENEE",
        "middle_name": "O",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710237",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rene.corrigan@nwhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "6130 N La Cholla Blvd Ste 250",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.