ALEXIS MARISSA MOONEY CORCORAN MD
NPI 1184427700
Student in an Organized Health Care Education/Training Program in Worcester, MA

Q: What is Alexis Corcoran's NPI number?

The NPI number for Alexis Corcoran is 1184427700. It was assigned to this individual provider in the NPPES registry on March 29, 2025.

Q: What is Alexis Corcoran's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Alexis Corcoran was last updated on March 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2025PECOS Enrolled

26 QUEEN ST STE 13, WORCESTER, MA 01610(508) 334-1000 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Alexis Marissa Mooney Corcoran Md NPPES

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

ALEXIS MARISSA MOONEY CORCORAN MD (NPI 1184427700) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184427700

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameALEXIS MARISSA MOONEY CORCORANCredential: MD

Location Address26 QUEEN ST STE 13Worcester, MA 01610-2478

Mailing Address26 Queen St Ste 13Worcester, MA 01610-2478 · (508) 334-1000

Phone(508) 334-1000

Sole ProprietorNo

Enumeration DateMarch 29, 2025

NPPES CertifiedMarch 29, 2025

✔ NPI 1184427700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

26 QUEEN ST STE 13, Worcester, MA 01610

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexis Marissa Mooney Corcoran Md 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.

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.

MS. JAMIE ELLEN RUSSELL RDH

Dental Hygienist