MRS. COREY E ENNIS PA
NPI 1912392192
Physician Assistant in Ballston Lake, NY

Active since April 03, 2015PECOS EnrolledAccepts Medicare Assignment
1184 STATE ROUTE 50, BALLSTON LAKE, NY 12019(518) 384-1281(518) 384-0321 Get Directions Write a Review

NPPES record last updated: October 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 17, 2022, Jul 11, 2018 (2 updates tracked since 2018).

About Mrs. Corey E Ennis Pa NPPES

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

MRS. COREY E ENNIS PA (NPI 1912392192) is an individual physician assistant in Ballston Lake, New York and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Saratoga Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1912392192
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. COREY E ENNISCredential: PA
Location Address1184 STATE ROUTE 50Ballston Lake, NY 12019-1923
Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3700 · Fax (518) 782-3799
Fax(518) 384-0321
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 3, 2015
Last NPPES UpdateOctober 17, 20222 updates tracked since enumeration
NPPES CertifiedOctober 17, 2022
NPI 1912392192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1184 STATE ROUTE 50, Ballston Lake, NY 12019

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

Mrs. Corey E Ennis Pa 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 ID9638485741
PECOS Enrollment IDI20150904000367
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services36 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
50 services36 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
42 services32 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
35 services29 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
34 services27 patients

Hospital Affiliations CMS Care Compare

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

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12019 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%45 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%51 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Internal Medicine
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Internal Medicine
1184 STATE ROUTE 50
BURNT HILLS, NY 12019
Nurse Practitioner (Pediatrics)
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Nurse Practitioner (Family)
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Nurse Practitioner (Family)
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Physician Assistant
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Physician Assistant
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019

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 Corey Ennis's NPI number?

The NPI number for Corey Ennis is 1912392192. It was assigned to this individual provider in the NPPES registry on April 3, 2015.

Where is Corey Ennis located?

Corey Ennis practices at 1184 State Route 50, Ballston Lake, NY 12019. The listed phone number is (518) 384-1281.

What is Corey Ennis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Corey Ennis enrolled in Medicare?

Yes. Corey Ennis 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 Corey Ennis affiliated with any hospitals?

According to CMS data, Corey Ennis is affiliated with Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Corey Ennis was last updated on October 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.