CORRIDOR KETAMINE LLC
NPI 1356099154
Nurse Anesthetist, Certified Registered in Coralville, IA
About Corridor Ketamine Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORRIDOR KETAMINE LLC (NPI 1356099154) is a healthcare organization registered as a nurse anesthetist, certified registered in Coralville, Iowa and active in the NPI registry since March 2022. The organization maintains 2 additional practice locations and lists Jennifer Cecil Sassman, Arnp/credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corridor Ketamine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Corridor Ketamine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Corridor Ketamine LLC's NPI number?
The NPI number for Corridor Ketamine LLC is 1356099154. It was assigned to this organization in the NPPES registry on March 11, 2022.
Where is Corridor Ketamine LLC located?
Corridor Ketamine LLC is located at 1900 James St Ste 1, Coralville, IA 52241. The listed phone number is (319) 337-8329.
What is Corridor Ketamine LLC's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Corridor Ketamine LLC enrolled in Medicare?
Yes. Corridor Ketamine LLC is registered in the Medicare PECOS enrollment system.
When is Corridor Ketamine LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Corridor Ketamine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Corridor Ketamine LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (7) and Certified Registered Nurse Anesthetist (CRNA) (2). Of these, 2 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Corridor Ketamine LLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Corridor Ketamine Llc · NPI 1356099154
Nurse Anesthetist, Certified Registered organization in Coralville, Iowa. Organization record, active in the CMS NPPES registry since March 11, 2022.
## Identity
- **NPI:** 1356099154 (Entity type: Organization)
- **Enumerated:** March 11, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Sassman, ARNP/CREDENTIALING
## Practice location
- **Address:** 1900 JAMES ST STE 1, Coralville, IA 52241-1895
- **Phone:** (319) 337-8329
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Iowa, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Certified Registered Nurse Anesthetist (CRNA) (2); 2 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1356099154) · Data from the CMS NPPES public registry.