Individual provider Active NPI

Patricia E Corcoran, NP

  • Nurse Practitioner
  • Walpole, MA
National Provider Identifier
1952394009
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
160779 Issued in MA
Practice address
844 Main St
Walpole, MA 02081-2954
Phone
(508) 668-4555
Fax
(508) 668-9062
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 160779 MA Primary

Addresses

Primary practice location

844 Main St
Walpole, MA 02081-2954

Mailing address

844 Main St
Walpole, MA 02081-2954
Phone (508) 668-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051024000718 MA Practitioner - Nurse Practitioner 0143246629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert F Kelliher MDGroup PAC ID 3476597766, 2 clinicians

Practice addresses (Care Compare)

844 Main St
Walpole, MA 02081-2954
Phone (508) 668-4555

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160779MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F Kelliher MD CurrentSince Feb 1, 2003 Accepting new patients

Locations

844 Main St
Walpole, MA 02081
Phone (508) 668-4555

Interoperability endpoints

  • Direct secure messaging: patricia.corcoran@rfk.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCHCBA/Endpoint/BCHCBA

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 1

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1952394009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812954",
            "telephone_number": "508-668-4555",
            "fax_number": "508-668-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 MAIN ST",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020812954",
            "telephone_number": "508-668-4555",
            "fax_number": "508-668-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "PATRICIA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "160779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

Verify at the official NPI Registry.