Corrine Vandemaele, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2765 Issued in NV

Practice address

3915 Neil Rd
Reno, NV 89502-6808

Phone

(775) 329-6300

Fax

(775) 870-4686

NPI assigned

May 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health Alliance 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1326162710

  NV

  Medicare reassignment Care Compare group NPD
• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Sun Valley, NV
  • NPI 1427283860
  Care Compare group NPD
• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1013143312
  Care Compare group
• Community Health Alliance

  • Pharmacy
  • Reno, NV
  • NPI 1265856595
  Care Compare group
• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1407463540
  Care Compare group
• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1518519768
  Care Compare group
• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1548644594
  Care Compare group
• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Sparks, NV
  • NPI 1568828085
  Care Compare group
• Community Health Alliance

  • Pharmacy
  • Sparks, NV
  • NPI 1851897664
  Care Compare group
• Community Health Alliance

  • Pharmacy
  • Sun Valley, NV
  • NPI 1720728298
  NPD

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1992379044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S ROCK BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024113",
            "telephone_number": "775-329-6300",
            "fax_number": "775-870-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 NEIL RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026808",
            "telephone_number": "775-329-6300",
            "fax_number": "775-870-4686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18600 Wedge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895113036",
            "country_code": "US",
            "telephone_number": "916-398-1066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEMAELE",
        "first_name": "CORRINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-13",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvandemaele@unr.med.edu",
            "affiliation": "N",
            "address_1": "18600 Wedge Pkwy",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895113036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvandemaele@unr.med.edu",
            "affiliation": "N",
            "address_1": "18600 Wedge Pkwy",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895113036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cvandemaele@unr.med.edu",
            "affiliation": "N",
            "address_1": "18600 Wedge Pkwy",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895113036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Floyd Vanantwerp, MD
• John Vanbiber
• Jerame Troy Vancil
• Lisa A Vancil, LCSW
• Bart Vandamme, QIDP
• Kathleen Ruth Vander Wall, AU.D.
• Amanda Czigany Vanderclay, M.D.
• Alida Vanderdoes
• Carol A Vandergrift
• Margaret Ann Vanderlinden, MS CCC SLP

• All providers in Reno, NV
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.

Verify at the official NPI Registry.