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COREY MAMMEN
NPI 1063003648
Nurse Anesthetist, Certified Registered in Fall River, MA

Active since January 27, 2021PECOS Enrolled
795 MIDDLE ST, FALL RIVER, MA 02721(508) 674-5600 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Sep 13, 2024, Jul 11, 2024 and 1 more (4 updates tracked since 2021).

About Corey Mammen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREY MAMMEN (NPI 1063003648) is an individual nurse anesthetist, certified registered in Fall River, Massachusetts, licensed in Massachusetts (RN2329584) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1063003648
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCOREY MAMMEN
Location Address795 MIDDLE STFall River, MA 02721-1733
Mailing Address163 Cedar AvePortsmouth, RI 02871-4505
Phone(508) 674-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 27, 2021
Last NPPES UpdateFebruary 3, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1063003648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MA · RN2329584✔ Licensed in RI · APRN04092
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN2329584 (MA)
795 MIDDLE ST, Fall River, MA 02721
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Secondary Practice Locations 2

Location 11 KETTLE POINT AVEEAST PROVIDENCE, RI 02914-5375 · Phone (401) 330-1400
Location 262 Amaral StRiverside, RI 02915-2205 · Phone (401) 649-4030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Corey Mammen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658786546
PECOS Enrollment IDI20210301000461, I20241028003816
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Corey Mammen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group, Inc
Same address
Anesthesiology
795 MIDDLE ST
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 347 clinicians in this Medicare group
NPI 1043711914 (508) 674-5600
Prima Care, PC
0.8 mi
Clinic/Center
277 PLEASANT ST, 4TH FLOOR
Fall River, MA 02721
  • Reassigned Medicare billing, Massachusetts enrollment
  • 317 clinicians in this Medicare group
NPI 1265422596 (508) 676-3292
Anesthesia Partners Of New England, LLC
12 mi
Nurse Anesthetist, Certified Registered
62 AMARAL ST, EAST PROVIDENCE
Ri, RI 02915
  • Reassigned Medicare billing, Massachusetts and Rhode Island enrollments
  • 39 clinicians in this Medicare group
NPI 1326672312 (401) 649-4030
Narragansett Bay Anesthesia, LLC
16 mi
Anesthesiology
455 TOLL GATE RD
Warwick, RI 02886
  • Reassigned Medicare billing, Rhode Island enrollment
  • 141 clinicians in this Medicare group
NPI 1861445728 (781) 915-0214
Lifespan Physician Group Of Massachusetts Inc
18 mi
Family Medicine
2007 BAY ST
Taunton, MA 02780
  • Reassigned Medicare billing, Massachusetts enrollment
  • 547 clinicians in this Medicare group
NPI 1235957713 (774) 409-2009
Cape Cod Anesthesia Associates, Inc.
46 mi
Anesthesiology
27 PARK ST
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 75 clinicians in this Medicare group
NPI 1659308021 (508) 771-1800
Icon Anesthesia Services Of New England LLC
63 mi
Anesthesiology
135 LAKE ST
Middleton, MA 01949
  • Reassigned Medicare billing, Massachusetts enrollment
  • 98 clinicians in this Medicare group
NPI 1629583323 (978) 766-1150

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, propofol, 10 mg J2704
Propofol is a medication given via injection to help you relax or sleep during surgery or other medical procedures. The 10 mg dosage refers to the amount of medication you'll receive. It's administered by a healthcare professional and monitored closely for safety.
640 services13 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
34 services34 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
27 services27 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
26 services26 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
19 services19 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Morton Hospital

Acute Care Hospitals · Taunton, MA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number220073
Location88 Washington StreetTaunton, MA 02780 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DESIREE GILLPATRICK LICSW
Social Worker (Clinical)
795 MIDDLE ST
FALL RIVER, MA 02721
Bristol County (508) 674-5600
MEDICAL ONCOLOGISTS OF ST. ANNE'S HOSPITAL
Internal Medicine (Hematology & Oncology)
795 MIDDLE ST
FALL RIVER, MA 02721
Bristol County (508) 235-5226
LIFESPAN OF MASSACHUSETTS - FALL RIVER INC
Psychiatric Unit
795 MIDDLE ST
FALL RIVER, MA 02721
Bristol County (508) 674-5600
MATTHEW BRAGA NP
Nurse Practitioner (Acute Care)
795 MIDDLE ST
FALL RIVER, MA 02721
Bristol County (508) 674-5600
AMY M STOWE CRNA
Nurse Anesthetist, Certified Registered
795 MIDDLE ST
FALL RIVER, MA 02721
Bristol County (508) 235-5258
DR. VICTORIA ELIZABETH FOX MD
Emergency Medicine
795 MIDDLE ST
FALL RIVER, MA 02721
Bristol County (508) 674-5600
JULIA VALERI PA-C
Physician Assistant
795 MIDDLE ST
FALL RIVER, MA 02721
Bristol County (508) 674-5600
STEWARD MEDICAL GROUP, INC
Anesthesiology
795 MIDDLE ST
FALL RIVER, MA 02721
Bristol County (508) 674-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Mammen's NPI number?

The NPI number for Corey Mammen is 1063003648. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Where is Corey Mammen located?

Corey Mammen practices at 795 Middle St, Fall River, MA 02721. The listed phone number is (508) 674-5600.

What is Corey Mammen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Corey Mammen enrolled in Medicare?

Yes. Corey Mammen is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Corey Mammen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corey Mammen reassigns Medicare benefits to 7 organizations: Steward Medical Group, Inc (Fall River, MA), Prima Care, PC (Fall River, MA), Anesthesia Partners Of New England, LLC (Ri, RI), Narragansett Bay Anesthesia, LLC (Warwick, RI), Lifespan Physician Group Of Massachusetts Inc (Taunton, MA) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Corey Mammen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Corey Mammen affiliated with any hospitals?

According to CMS data, Corey Mammen is affiliated with Saint Anne's Hospital and Morton Hospital.

When was this NPI record last updated?

The NPPES record for Corey Mammen was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.