ANTOINETTE CORSON
NPI 1982212189
Nurse Practitioner - Family in The Dalles, OR

Active since July 14, 2020PECOS EnrolledAccepts Medicare Assignment
1620 E 12TH ST, THE DALLES, OR 97058(541) 296-9151 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 9, 2022, Jul 14, 2020 (2 updates tracked since 2020).

About Antoinette Corson NPPES

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

ANTOINETTE CORSON (NPI 1982212189) is an individual family provider in The Dalles, Oregon, licensed in Oregon (202213867NP-PP) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Mid-columbia Medical Center, and is a graduate of Oregon Health Sciences University School Of Medicine (2022).

NPPES Registry Identity

NPI1982212189
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANTOINETTE CORSON
Location Address1620 E 12TH STThe Dalles, OR 97058-3213
Mailing Address1620 E 12th StThe Dalles, OR 97058-3213 · (541) 296-9151
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2022
Enumeration DateJuly 14, 2020
Last NPPES UpdateSeptember 9, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
✔ NPI 1982212189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 202213867NP-PP
1620 E 12TH ST, The Dalles, OR 97058

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

Antoinette Corson 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 ID8426424169
PECOS Enrollment IDI20221020000633
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 Reassignment

Medicare enrollment records show Antoinette Corson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
1620 E 12TH ST
The Dalles, OR 97058
  • Reassigned Medicare billing, Oregon enrollment
  • Also billed through NPI 1306842752 (Oregon)
  • 195 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 2

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

Mid-Columbia Medical Center

Acute Care Hospitals · The Dalles, OR
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number380001
Location1700 E 19th StreetThe Dalles, OR 97058 · Wasco County
Emergency services Birthing friendly

Providence Hood River Memorial Hospital

Critical Access Hospitals · Hood River, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number381318
Location810 12th StreetHood River, OR 97031 · Hood River County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97058 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

Pediatrics
1620 E 12TH ST
THE DALLES, OR 97058
Family Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Physician Assistant (Medical)
1620 E 12TH ST
THE DALLES, OR 97058
Clinic/Center (Rural Health)
1620 E 12TH ST
THE DALLES, OR 97058
Physician Assistant
1620 E 12TH ST
THE DALLES, OR 97058
Community Health Worker
1620 E 12TH ST
THE DALLES, OR 97058
Family Medicine
1620 E 12TH ST
THE DALLES, OR 97058
Family Medicine
1620 E 12TH ST
THE DALLES, OR 97058

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 Antoinette Corson's NPI number?

The NPI number for Antoinette Corson is 1982212189. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Where is Antoinette Corson located?

Antoinette Corson practices at 1620 E 12th St, The Dalles, OR 97058. The listed phone number is (541) 296-9151.

What is Antoinette Corson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Antoinette Corson enrolled in Medicare?

Yes. Antoinette 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 organization bills Medicare for Antoinette Corson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Antoinette Corson reassigns Medicare benefits to Mid-Columbia Medical Center (The Dalles, OR). The 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 Antoinette Corson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Antoinette Corson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Antoinette 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 Antoinette Corson affiliated with any hospitals?

According to CMS data, Antoinette Corson is affiliated with Mid-Columbia Medical Center and Providence Hood River Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Antoinette Corson was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.