KIARRA PENA CORLESS MMS, PA-C
NPI 1164154381
Physician Assistant - Medical in Largo, FL
About Kiarra Pena Corless Mms, Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIARRA PENA CORLESS MMS, PA-C (NPI 1164154381) is an individual medical provider in Largo, Florida, licensed in Florida (PA9116148) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Wake Forest University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kiarra Pena Corless Mms, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LARGO, FL 33773
LARGO, FL 33773
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 Kiarra Corless's NPI number?
The NPI number for Kiarra Corless is 1164154381. It was assigned to this individual provider in the NPPES registry on June 27, 2022.
Where is Kiarra Corless located?
Kiarra Corless practices at 12416 66th St Ste A, Largo, FL 33773. The listed phone number is (727) 547-4700.
What is Kiarra Corless's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kiarra Corless enrolled in Medicare?
Yes. Kiarra Corless is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Kiarra Corless was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Kiarra Pena Corless, MMS, PA-C · NPI 1164154381
Medical physician in Largo, Florida. Individual provider, active in the CMS NPPES registry since June 27, 2022.
## Identity
- **NPI:** 1164154381 (Entity type: Individual)
- **Enumerated:** June 27, 2022
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA9116148 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 12416 66TH ST STE A, Largo, FL 33773-3430
- **Phone:** (727) 547-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Wake Forest University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164154381) · Data from the CMS NPPES public registry.