Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corey Mammen

Individual provider Certified Registered Nurse Anesthetist · NPI 1063003648

Corey Mammen is a Certified Registered Nurse Anesthetist (CRNA) in Fall River, Massachusetts. Qualified in 2021, 5 years ago. Practices with Narragansett Bay Anesthesia LLC, a 95-clinician group and works from 3 locations. Licensed in Massachusetts and Rhode Island.

Years since qualifying
5
Licensed in
MA, RI
In the registry since
2021
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

795 Middle St
Fall River, MA 02721-1733
Phone: (508) 674-5600
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Kettle Point Ave, East Providence, RI 02914-5375 — (401) 330-1400
  • 62 Amaral St, Riverside, RI 02915-2205 — (401) 649-4030

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN2329584 (MA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN2329584 (MA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APRN04092 (RI)

Record details

NPI number1063003648
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 27, 2021
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address163 Cedar Ave, Portsmouth, RI 02871-4505

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Narragansett Bay Anesthesia Llc — 95 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

Other providers in Fall River