MITCHEL RYAN CORSON DO
NPI 1245935741
Emergency Medicine in Roseville, CA

Active since April 03, 2023PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661(916) 781-1647 Get Directions Write a Review

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

Record update history: Jul 6, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Mitchel Ryan Corson Do NPPES

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

MITCHEL RYAN CORSON DO (NPI 1245935741) is an individual emergency medicine provider in Roseville, California, licensed in Washington (DO.OP.70086841) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1245935741
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMITCHEL RYAN CORSONCredential: DO
Location Address1 MEDICAL PLAZA DRRoseville, CA 95661-3037
Mailing Address1 Medical Plaza DrRoseville, CA 95661-3037
Sole ProprietorNo
Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2023
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1245935741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · DO.OP.70086841
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 MEDICAL PLAZA DR, Roseville, CA 95661

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mitchel Ryan Corson Do 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.

PECOS PAC ID3375008501
PECOS Enrollment IDI20260718000065
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

3

Medicare enrollment records show Mitchel Corson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1313 BROADWAY, SUITE 200
Tacoma, WA 98402
  • Reassigned Medicare billing, Washington enrollment
  • 1,526 clinicians in this Medicare group
Internal Medicine
34515 9TH AVE S
Federal Way, WA 98003
  • Reassigned Medicare billing, Washington enrollment
  • 190 clinicians in this Medicare group
Emergency Medicine
330 S STILLAGUAMISH AVE
Arlington, WA 98223
  • Reassigned Medicare billing, Washington enrollment
  • 519 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Emergency Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Nurse Practitioner (Family)
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Nurse Practitioner
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Internal Medicine
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661
Student in an Organized Health Care Education/Training Program
1 MEDICAL PLAZA DR
ROSEVILLE, CA 95661

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 Mitchel Corson's NPI number?

The NPI number for Mitchel Corson is 1245935741. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Mitchel Corson located?

Mitchel Corson practices at 1 Medical Plaza Dr, Roseville, CA 95661. The listed phone number is (916) 781-1647.

What is Mitchel Corson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mitchel Corson enrolled in Medicare?

Yes. Mitchel Corson 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.

Which organizations bill Medicare for Mitchel Corson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitchel Corson reassigns Medicare benefits to 3 organizations: Franciscan Medical Group (Tacoma, WA), Northwest Observation Associates PC (Federal Way, WA) and Northwest Emergency Physicians LLC (Arlington, WA). 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 Mitchel Corson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitchel Corson accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Mitchel Corson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mitchel Corson affiliated with any hospitals?

According to CMS data, Mitchel Corson is affiliated with St Clare Hospital.

When was this NPI record last updated?

The NPPES record for Mitchel Corson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.