MRS. CORIANNE WARRICK VANDERKOLK (PA-C) – Physician Assistant, NPI 1104267806

MRS. CORIANNE WARRICK VANDERKOLK (PA-C) is a healthcare provider. based in Linton, Indiana. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 10001546 (IN). The NPI Number for MRS. CORIANNE WARRICK VANDERKOLK (PA-C) is 1104267806

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. CORIANNE WARRICK VANDERKOLK (PA-C)
NPI
1104267806
Phone
(812) 847-7005
Address
1600 A ST NE STE 9
Enumeration Date
10 July 2013
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8128477005
Graduation Year
2013 (13 years ago)
PAC ID
9830327022
Group Practice PAC ID
7214226844
Professional Enrollment ID
I20140115000960
Address ID
IN474411612LI1600XNEXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MRS. CORIANNE WARRICK VANDERKOLK (PA-C)

  • 1600 A ST NE STE 9

    LINTON, IN 474411612

    Phone: (812) 847-7005

    Fax: (812) 847-5309

    Type: Mailing

  • 326 E Main St

    Jasonville, IN 474381510

    Phone: (812) 665-9000

    Fax: (812) 665-9009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 132 Open Payments records for all available years, with a total value of $1,991.

Total Amount is formed as General ($1,991) + Research ($0) + Ownership ($0) = $1,991.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($395).

Total Amount

$1,991

General + Research + Ownership

Payments

132

Total payment records

General Amount

$1,991

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140115000960IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level2113$0
View full utilization report →

Insurance plans in this area (ZIP 47441)

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Provider's Procedures

MRS. CORIANNE WARRICK VANDERKOLK (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIN81002Urinalysis, manual test2520

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214226844View full group profile
NameSpecialtyState
-IN
Nurse PractitionerIN
Nurse PractitionerIN
Family PracticeIN
Nurse PractitionerIN
Nurse PractitionerIN
-IN
Nurse PractitionerIN
Clinical Social WorkerIN

Reviews

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Frequently asked questions

How is MRS. CORIANNE WARRICK VANDERKOLK (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. CORIANNE WARRICK VANDERKOLK (PA-C) with NPI 1104267806.
Is MRS. CORIANNE WARRICK VANDERKOLK (PA-C) listed as active for patients and plans?
The listing shows MRS. CORIANNE WARRICK VANDERKOLK (PA-C) as active in the NPI system.
What is MRS. CORIANNE WARRICK VANDERKOLK (PA-C)'s primary classification?
Physician Assistant is the headline specialty for MRS. CORIANNE WARRICK VANDERKOLK (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. CORIANNE WARRICK VANDERKOLK (PA-C) on a map?
Expect Linton, Indiana as a primary anchor for MRS. CORIANNE WARRICK VANDERKOLK (PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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