Individual provider Active NPI

Terra Corley

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1871184895
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
200970 Issued in OK
Practice address
3200 Quail Springs Pkwy Ste 200
Oklahoma City, OK 73134-2699
Phone
(405) 241-3791
Fax
(405) 241-0998
NPI assigned
Feb 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 200970 OK Primary

Addresses

Primary practice location

3200 Quail Springs Pkwy Ste 200
Oklahoma City, OK 73134-2699

Mailing address

3200 Quail Springs Pkwy Ste 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20210222001714 OK Practitioner - Nurse Practitioner 9335554534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Health Clinic PLLCGroup PAC ID 5597070326, 23 clinicians

Practice addresses (Care Compare)

3200 Quail Springs Pkwy
Suite 200
Oklahoma City, OK 73134-2699
Phone (405) 241-3539

Hospital & facility affiliations

  • Oklahoma Heart Hospital South, LLC Hospital, Oklahoma City, OK, CCN 370234
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028

Merit-based Incentive Payment System (MIPS)

Final score
79.24 of 100Reported as group
Quality
59.04
Promoting interoperability
97
Improvement activities
40
Cost
74.25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Health Clinic PLLC Vascular Surgery CurrentSince Feb 18, 2021 Accepting new patients

Locations

420 S 22nd St
Chickasha, OK 73018
Phone (405) 224-3366

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

3200 Quail Springs Pkwy
Oklahoma City, OK 73134
Phone (405) 241-3795

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23723/brand/1/csg/1/fhir/r4
  • Direct secure messaging: terra.corley.1@23723.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1871184895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342699",
            "telephone_number": "405-241-3791",
            "fax_number": "405-241-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342699",
            "telephone_number": "405-241-3791",
            "fax_number": "405-241-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORLEY",
        "first_name": "TERRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "200970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.