MABEL MCCORRISON (FNP) – Nurse Practitioner, NPI 1639278690

MABEL MCCORRISON (FNP) is a healthcare provider. based in Virginia beach, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024166899 (VA). The NPI Number for MABEL MCCORRISON (FNP) is 1639278690

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MABEL MCCORRISON (FNP)
NPI
1639278690
Phone
(757) 962-8720
Address
3745 Holland Rd
Enumeration Date
22 September 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5403345511
Graduation Year
2005 (21 years ago)
PAC ID
6800999335
Group Practice PAC ID
3678670221
Professional Enrollment ID
I20070321000217
Address ID
VA240650000BO22890HWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070321000217INurse PractitionerVATBD

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 23452)

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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: 3678670221View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MABEL MCCORRISON (FNP)?
Save NPI 1639278690 if you need a stable reference for MABEL MCCORRISON (FNP).
Does this profile mean MABEL MCCORRISON (FNP) is currently active?
Yes — MABEL MCCORRISON (FNP) appears active in the national provider directory.
Can you summarize MABEL MCCORRISON (FNP)'s specialty in plain language?
Clinically, the directory lists MABEL MCCORRISON (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MABEL MCCORRISON (FNP) practice in Virginia?
You will see Virginia Beach, Virginia on file for MABEL MCCORRISON (FNP) alongside any extra practice locations.
What if Virginia Beach, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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