KATIE CORCORAN (M.D.) – Obstetrics & Gynecology Physician, NPI 1164834826

KATIE CORCORAN (M.D.) is a healthcare provider. based in Maple grove, Minnesota. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 62078 (MN). The NPI Number for KATIE CORCORAN (M.D.) is 1164834826

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KATIE CORCORAN (M.D.)
NPI
1164834826
Phone
(763) 587-7900
Address
9825 HOSPITAL DR STE 300
Enumeration Date
28 May 2014
Last Update Date
14 March 2023

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
7635877900
Graduation Year
2013 (13 years ago)
PAC ID
7315214145
Group Practice PAC ID
2769384205
Professional Enrollment ID
I20170530000862
Address ID
MN553694768MA9825XDRXX301

Contacts

Secure Messaging
kcorcoran363454@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Other namesUpdated within 12 months

822 OBSTETRICS/GYNECOLOGY in MN

Provider Addresses for KATIE CORCORAN (M.D.)

  • 9825 HOSPITAL DR STE 300

    MAPLE GROVE, MN 553694768

    Phone: (763) 587-7900

    Fax: (763) 494-7501

    Type: Location

  • 8675 VALLEY CREEK RD

    WOODBURY, MN 551252337

    Phone: (651) 241-3000

    Fax: (651) 241-3305

    Type: Mailing

  • 5109 36th Ave N

    Crystal, MN 554222007

    Phone: (763) 587-7900

    Fax: (763) 587-7989

    Type: Location

  • 9201 W BROADWAY AVE STE 601

    BROOKLYN PARK, MN 554451924

    Phone: (763) 587-7900

    Fax: (763) 587-7066

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-05-30

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
I20170530000862IObstetrics/GynecologyMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55369)

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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: 2769384205View full group profile
NameSpecialtyState
-MN
Colorectal Surgery (Proctology)MN
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
Internal Medicine, RheumatologyMN
Nurse PractitionerMN
Family PracticeMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Colorectal Surgery (Proctology)MN
Internal Medicine, GastroenterologyMN

Reviews

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Frequently asked questions

What number should I use to identify KATIE CORCORAN (M.D.) for billing?
Administrative and clinical systems typically use NPI 1164834826 for KATIE CORCORAN (M.D.).
Quick check: is KATIE CORCORAN (M.D.) active?
Public NPPES data shows KATIE CORCORAN (M.D.) with an active NPI status right now.
What type of care does KATIE CORCORAN (M.D.) provide?
KATIE CORCORAN (M.D.)'s profile centers on Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KATIE CORCORAN (M.D.) in Maple Grove, Minnesota?
For routing, start with Maple Grove, Minnesota for KATIE CORCORAN (M.D.), then verify phone and hours locally.
Who maintains KATIE CORCORAN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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