MABEL MCCORRISON (FNP) – Nurse Practitioner, NPI 1639278690
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,307 NURSE PRACTITIONER in VA
Provider Addresses for MABEL MCCORRISON (FNP)
3745 Holland Rd
Virginia Beach, VA 234522847
Phone: (757) 962-8720
Fax: (757) 507-9004
Type: Location
21054A Timberlake Rd
Lynchburg, VA 245027327
Phone: (434) 239-0627
Fax: (434) 237-0345
Type: Location
625, South Jefferson Street, Cedar Bluff, Roanoke, Roanoke (city), Virginia, 24011, United States
ROANOKE, VA 240111713
Phone: (540) 224-5516
Fax: (540) 224-5684
Type: Mailing
Boones Mill Church of the Brethren, Virgil H Goode Highway, Boones Mill, Franklin County, Virginia, 24065, United States
BOONES MILL, VA 24065
Phone: (540) 344-5511
Fax: (540) 344-3174
Type: Location
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: 2007-03-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070321000217 | I | Nurse Practitioner | VA | TBD |
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.
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 23452)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | VA | |
| - | VA | |
| Family Practice | MI | |
| Nurse Practitioner | VA | |
| - | VA |
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