Active NPI
Danielle Cork
- Physician Assistant
- Lafayette, IN
National Provider Identifier
1821477969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10001791A
- Practice address
- 1501 Hartford St
Lafayette, IN 47904-2134 - Phone
- (765) 428-5850
- Fax
- (765) 428-5851
- NPI assigned
- May 21, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10001791A | IN | Primary |
Addresses
Primary practice location
1501 Hartford St
Lafayette, IN 47904-2134
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 865-8133
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
Hospital & facility affiliations
- Baptist Health Louisville
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.66 of 100
- Quality
- 75.39
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Emergency Solutions LLC | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1356018519
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1487604641
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1255691424
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485561600000",
"number": "1821477969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-865-8133",
"fax_number": "317-859-8239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HARTFORD ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042134",
"telephone_number": "765-428-5850",
"fax_number": "765-428-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORK",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-21",
"last_updated": "2017-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10001791A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; 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.