ANN MARIE CORREA
NPI 1083420814
Nurse Practitioner - Family in San Diego, CA

Q: What is Ann Marie Correa's NPI number?

The NPI number for Ann Marie Correa is 1083420814. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Q: What is Ann Marie Correa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Ann Marie Correa was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since December 06, 2024PECOS Enrolled

2630 1ST AVE, SAN DIEGO, CA 92103(619) 234-2158 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ann Marie Correa NPPES

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

ANN MARIE CORREA (NPI 1083420814) is an individual family provider in San Diego, California, licensed in California (95033117) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083420814

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameANN MARIE CORREA

Location Address2630 1ST AVESan Diego, CA 92103-6599

Mailing Address1684 Cable StSan Diego, CA 92107-3325 · (714) 606-4901

Phone(619) 234-2158

Sole ProprietorNo

Enumeration DateDecember 6, 2024

NPPES CertifiedDecember 6, 2024

✔ NPI 1083420814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95033117

2630 1ST AVE, San Diego, CA 92103

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ann Marie Correa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ann Marie Correa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Diego American Indian Health Center

Same address

Addiction (Substance Use Disorder)

2630 1ST AVE
San Diego, CA 92103

Reassigned Medicare billing, California enrollment
51 clinicians in this Medicare group

NPI 1003902917 (619) 234-2158

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

Most-billed visit code 99214

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.

SAN DIEGO AMERICAN INDIAN HEALTH CENTER

Counselor (Addiction (Substance Use Disorder))