NPIMap

Individual provider Active NPI

Adrienne E Coble, PA

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1023169224
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022947 Issued in NY
Practice address
123 Everett Rd
Albany, NY 12205-1407
Phone
(518) 701-2085
Fax
(518) 701-2020
NPI assigned
Jan 15, 2007
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50002529 OH
Physician Assistant 363A00000X 022947 NY Primary

Addresses

Primary practice location

123 Everett Rd
Albany, NY 12205-1407

Mailing address

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2085

Other identifiers 1

IdentifierTypeStateIssuer
05418048MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150402000095 CA Practitioner - Physician Assistant 4880797075 Reassigns benefits to 1 organization
I20190125000265 NY Practitioner - Physician Assistant 4880797075 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany ENT and Allergy Services PCGroup PAC ID 3678551736, 46 clinicians

Practice addresses (Care Compare)

123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2000

Merit-based Incentive Payment System (MIPS)

Final score
87.76 of 100Reported as group
Quality
84.34
Promoting interoperability
99
Improvement activities
40
Cost
75.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
022947NYMDMassage Therapist
50002529OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Physician Assistant CurrentSince Dec 17, 2018 Accepting new patients
Skinpeccable Inc. Current Accepting new patients
Albany Medical College CurrentSince Dec 17, 2018 Accepting new patients
Brentview Medical Inc. CurrentSince Feb 8, 2015 Accepting new patients
Albany Medical College CurrentSince May 1, 2019 Accepting new patients
Wellnow Urgent Care, PC CurrentSince May 1, 2020 Accepting new patients
Mercy Emergency Care Services, Inc. Physician Assistant Past Accepting new patients
Fairfield Hospitalists Inc Past Accepting new patients
BVM Therapy Inc. Past Accepting new patients
Middletown Emergency Physicians, Inc. Past Accepting new patients

Locations

11611 San Vicente Blvd
Los Angeles, CA 90049
Phone (310) 447-6060

11611 San Vicente Blvd
Ste GF1
Los Angeles, CA 90049
Phone (310) 820-0013

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

Interoperability endpoints

  • Direct secure messaging: adrienne.coble.p1@direct.aent.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1023169224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085",
            "fax_number": "518-701-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051407",
            "telephone_number": "518-701-2085",
            "fax_number": "518-701-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLE",
        "first_name": "ADRIENNE",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002529",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05418048",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.