Corinne E. Coughlin, PA-C
Individual provider Active NPI Physician Assistant · Tioga, ND
NPI 1821039249 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1821039249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PAC0103 (ND)
- Practice address
- 710 N Welo St
Tioga, ND 58852-7117 - Phone
- (701) 664-3368
- Fax
- (701) 664-3300
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Tioga Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0103 | ND | Yes |
Addresses
Primary practice location
710 N Welo St
Tioga, ND 58852-7117
Mailing address
PO Box 159
Tioga, ND 58852-0159
Phone (701) 664-3368
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16047 | Other | ND | BCBSND |
Other providers in Tioga, ND
- Teri Andersen
- Katie Anderson
- David Charles Carlson
- Nancy Carlson
- Dr. David C Carlson D.D.S PC
- Kari Ely
- Gracia Gilbertson
- Melissa Jo Hallgren
- Gail R. Joyce
All providers in Tioga, ND · Physician Assistant in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.