Paul Wayne Cormier, N.P. – Family Nurse Practitioner

Key facts

NPI: 1922423698
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 653848 (TX)
Practice address: 2830 Calder St
Beaumont, TX 77702-1809
Phone: (409) 892-7171
NPI assigned: Mar 4, 2014
Sex: Male
Sole proprietor: Yes

Organizations & group practices 4

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.

Mid County Urgent Care, PLLC Urgent Care Clinic/Center · Nederland, TX · NPI 1659631364

Medicare reassignment Care Compare group NPD TX
Sound Physicians Emergency Medicine of Texas PLLC Emergency Medicine Physician · Killeen, TX · NPI 1518475557

Medicare reassignment NPD TX
Hardin County Urgent Care PLLC Urgent Care Clinic/Center · Lumberton, TX · NPI 1639799984

Medicare reassignment TX
Acorn Medical Home Family Medicine Physician · Bridge City, TX · NPI 1457099558

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2013
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Mid County Urgent Care, PLLC (4 clinicians)

Practice addresses (Care Compare)

1908 Hwy 365
Nederland, TX 77627-5503
Phone (409) 729-1900

Merit-based Incentive Payment System (MIPS)

Final score: 75 of 100 (individual)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX
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
I20140602001939	TX	Practitioner - Nurse Practitioner	2264655745	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
653848	TX	MD	Family Nurse Practitioner

Practice roles

Organization	Status	New patients
Mid County Urgent Care, PLLC	Current since Sep 13, 2018	Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC	Current since Feb 15, 2018	Accepting new patients
Acorn Medical Home	Past	Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951

1908 Highway 365
Nederland, TX 77627
Phone (409) 729-1900

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	653848	TX	Yes

Addresses

Primary practice location

2830 Calder St
Beaumont, TX 77702-1809

Mailing address

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

Other providers in Beaumont, TX

All providers in Beaumont, TX · Family Nurse Practitioner in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.