Active NPI
Renee S McCorcle, NP
- Psychiatric/Mental Health Nurse Practitioner
- Pensacola, FL
National Provider Identifier
1851769715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- ARNP3482226
- Practice address
- 1221 W Lakeview Ave
Pensacola, FL 32501-1857 - Phone
- (850) 469-3500
- Fax
- (850) 469-3424
- NPI assigned
- Sep 9, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP08505 | LA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2005007532 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | ARNP3482226 | FL | Primary |
Addresses
Primary practice location
1221 W Lakeview Ave
Pensacola, FL 32501-1857
Mailing address
1221 W Lakeview Ave
Pensacola, FL 32501-1836
Phone (850) 469-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2402081 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.01 of 100
- Quality
- 62.34
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 78.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP3482226 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2005007532 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1851769715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 W LAKEVIEW AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011836",
"telephone_number": "850-469-3500",
"fax_number": "850-469-3424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 W LAKEVIEW AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011857",
"telephone_number": "850-469-3500",
"fax_number": "850-469-3424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORCLE",
"first_name": "RENEE",
"middle_name": "S",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "AP08505",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2005007532",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "ARNP3482226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2402081",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.