Individual provider Active NPI

Kerry Corcoran, APRN

  • Acute Care Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1821860412
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
12557 Issued in CT
Practice address
215 Stillwater Ave Ste B
Stamford, CT 06902-9504
Phone
(203) 674-1810
Fax
(203) 674-1805
NPI assigned
Oct 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 12557 CT Primary

Addresses

Primary practice location

215 Stillwater Ave Ste B
Stamford, CT 06902-9504

Mailing address

163 Limekiln Rd
Ridgefield, CT 06877-3418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20240116003196 CT Practitioner - Nurse Practitioner 1850743733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart Center PLLCGroup PAC ID 9830450162, 3 clinicians

Practice addresses (Care Compare)

215 Stillwater Ave
Suite B
Stamford, CT 06902-9504
Phone (203) 674-1810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center PLLC CurrentSince Nov 22, 2023 Accepting new patients
Silver Summit Medical Corporation PastSince Oct 29, 2023 Accepting new patients

Locations

215 Stillwater Ave
Ste B
Stamford, CT 06902
Phone (203) 674-1810

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1821860412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LIMEKILN RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 STILLWATER AVE STE B",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069029504",
            "telephone_number": "203-674-1810",
            "fax_number": "203-674-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "KERRY",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "12557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.