Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Corissa Vidal, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134570278

Mrs. Corissa Vidal, PMHNP-BC is a Nurse Practitioner in Cedar Rapids, Iowa. Qualified in 2016, 10 years ago. Practices with St Lukes Methodist Hospital, a 80-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa.

Years since qualifying
10
Licensed in
IA
In the registry since
2016
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone: (563) 503-0306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence G126019 (IA)

Record details

NPI number1134570278
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 30, 2016
Last updated in NPPESJune 30, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Lukes Methodist Hospital — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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