Ann Marie Corey, N.P.
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Meridian, ID
NPI 1821359522 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1821359522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1156A (ID)
- Practice address
- 2076 S Eagle Rd
Meridian, ID 83642-6707 - Phone
- (208) 955-7333
- Fax
- (208) 955-7330
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Northwest Neurobehavioral Health LLC
Practice addresses (Care Compare)
2463 E Gala St
Suite 100
Meridian, ID 83642-5210
Phone (208) 955-7333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130620000364 | ID | Practitioner - Nurse Practitioner | 3779722814 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1156A | ID | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Neurobehavioral Health, LLC | Current |
Accepting new patients | |
| Northwest Neurobehavioral Health PLLC | Past | Accepting new patients |
Locations
2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110
2463 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 955-7333
2076 S Eagle Rd
Meridian, ID 83642
Phone (208) 955-7333
2463 E Gala St
Meridian, ID 83642
Phone (208) 908-1881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1156A | ID | Yes |
Addresses
Primary practice location
2076 S Eagle Rd
Meridian, ID 83642-6707
Mailing address
2076 S Eagle Rd
Meridian, ID 83642-6707
Phone (208) 955-7333
Other providers in Meridian, ID
- Katie E Copeland
- Copper Creek Counseling Center, LLC
- Copper Falls Hospice LLC
- Elsira Coram
- Gina Celine Cordero
- Andrea Elizabeth Corliss
- Denise Cornejo-Vucovich
- Jaquelynn Elizabeth Cornelius
- Cornerstone Health PLLC
- Cornerstone Supported Living
All providers in Meridian, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.