SAMUEL CORRONA PA-C
NPI 1366127268
Student in an Organized Health Care Education/Training Program in Vincennes, IN

Active since June 19, 2023PECOS EnrolledAccepts Medicare Assignment
1230 BURNETT LN, VINCENNES, IN 47591(812) 891-3190 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Samuel Corrona Pa-c NPPES

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

SAMUEL CORRONA PA-C (NPI 1366127268) is an individual student in an organized health care education/training program in Vincennes, Indiana and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1366127268
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL CORRONACredential: PA-C
Location Address1230 BURNETT LNVincennes, IN 47591-5012
Mailing Address1117 N Fox Ridge Links DrVincennes, IN 47591-6895
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 19, 2023
Last NPPES UpdateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1366127268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 10005012A (IN)
1230 BURNETT LN, Vincennes, IN 47591

Secondary Practice Location 1

Location 11801 N Senate BlvdIndianapolis, IN 46202-1228 · Phone (317) 963-1950

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

Samuel Corrona 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.

PECOS PAC ID5092203455
PECOS Enrollment IDI20251020000295
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.

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

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 Samuel Corrona's NPI number?

The NPI number for Samuel Corrona is 1366127268. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Samuel Corrona located?

Samuel Corrona practices at 1230 Burnett Ln, Vincennes, IN 47591. The listed phone number is (812) 891-3190.

What is Samuel Corrona's specialty?

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

Is Samuel Corrona enrolled in Medicare?

Yes. Samuel Corrona 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.

Is Samuel Corrona affiliated with any hospitals?

According to CMS data, Samuel Corrona is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Samuel Corrona was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.