Corliss Kanazawa
NPI 1194435677 · Acute Care Nurse Practitioner · New York, NY
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Corliss Kanazawa is a Acute Care Nurse Practitioner provider in New York, NY (NPI 1194435677).
Provider details
- NPI number
- 1194435677
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 432513 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-25
- Last updated
- 2022-11-25
- Certified
- 2022-11-21
Frequently asked questions
- What is Corliss Kanazawa's NPI number?
- Corliss Kanazawa's National Provider Identifier (NPI) is 1194435677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Corliss Kanazawa's specialty?
- Corliss Kanazawa is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Corliss Kanazawa located?
- Corliss Kanazawa's practice location on file with NPPES is 462 1st Ave, New York, NY 10016-9196.
- What is Corliss Kanazawa's phone number?
- The practice phone number listed in the NPPES registry for Corliss Kanazawa is (212) 562-4141.
- Does Corliss Kanazawa accept Medicare?
- Corliss Kanazawa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Corliss Kanazawa's NPI active?
- Yes — Corliss Kanazawa's NPI (1194435677) is active in the NPPES registry as of the last update on 2022-11-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.