BETHANY CHAPIN CORLISS DA ROCHA (M.D.) – Emergency Medicine Physician, NPI 1659670016

BETHANY CHAPIN CORLISS DA ROCHA (M.D.) is a healthcare provider. based in Winona, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 57714 (MN). The NPI Number for BETHANY CHAPIN CORLISS DA ROCHA (M.D.) is 1659670016

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY CHAPIN CORLISS DA ROCHA (M.D.)
NPI
1659670016
Phone
(507) 454-3650
Address
855 MANKATO AVE
Enumeration Date
23 March 2011
Last Update Date
20 October 2014

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5074543650
Graduation Year
2011 (15 years ago)
PAC ID
8729204318
Group Practice PAC ID
8527977420
Professional Enrollment ID
I20140716001505
Address ID
MN559874868WI855XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

Provider Addresses for BETHANY CHAPIN CORLISS DA ROCHA (M.D.)

  • 855 MANKATO AVE

    WINONA, MN 559874868

    Phone: (507) 454-3650

    Mailing address matches the actual address.

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: 2014-07-16

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
I20140716001505IEmergency MedicineMNTBD

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
99285Emergency department visit with high level of medical decision making6663$0
99284Emergency department visit with moderate level of medical decision making6560$0
99283Emergency department visit with low level of medical decision making4441$0
View full utilization report →

Insurance plans in this area (ZIP 55987)

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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: 8527977420View full group profile
NameSpecialtyState
Physician AssistantMN
Cardiovascular Disease (Cardiology)IL
U R O L O G YWI
-MN
Emergency MedicineMN
O P T O M E T R YMN
Nurse PractitionerWI
Physician AssistantMN
Nurse PractitionerWI
Internal MedicineMN

Reviews

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Frequently asked questions

What is BETHANY CHAPIN CORLISS DA ROCHA (M.D.)'s NPI number?
BETHANY CHAPIN CORLISS DA ROCHA (M.D.)'s NPI is 1659670016 — the number used across U.S. healthcare to identify this provider.
Is there an active status for BETHANY CHAPIN CORLISS DA ROCHA (M.D.)?
For scheduling context, BETHANY CHAPIN CORLISS DA ROCHA (M.D.) is shown as active in the registry.
How would a patient describe BETHANY CHAPIN CORLISS DA ROCHA (M.D.)'s focus?
For BETHANY CHAPIN CORLISS DA ROCHA (M.D.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BETHANY CHAPIN CORLISS DA ROCHA (M.D.)?
Travel planning: use Winona, Minnesota as the reference point for BETHANY CHAPIN CORLISS DA ROCHA (M.D.), then confirm.
When was this NPI issued?
Enumeration for BETHANY CHAPIN CORLISS DA ROCHA (M.D.) is noted as March 23, 2011 where the registry provides it.

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