Melissa Marie Cobb, NP-C
Individual provider Active NPI Adult Health Nurse Practitioner · Palestine, TX
NPI 1033367156 · NPPES record last updated Sep 27, 2018
Key facts
- NPI
- 1033367156
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 691387 (TX)
- Practice address
- 3201 S Loop 256
Palestine, TX 75801-6901 - Phone
- (903) 723-0600
- NPI assigned
- Sep 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Trinity Clinic Texas
Practice addresses (Care Compare)
3201 S Loop
Palestine, TX 75801-6901
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
- Crockett Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140517000027 | TX | Practitioner - Nurse Practitioner | 9133342223 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 691387 | TX | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current |
Accepting new patients | |
| Christus Trinity Clinic Texas | Current |
Accepting new patients |
Locations
3201 S Loop 256
Palestine, TX 75801
Phone (903) 723-0330
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- mcobb150352@christushealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 691387 | TX | Yes |
Addresses
Primary practice location
3201 S Loop 256
Palestine, TX 75801-6901
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other providers in Palestine, TX
- Lareen K Chonzena
- Bryan Cleveland
- Ellen Cleveland
- Makayla Clifton
- Coastal Kids Autism Treatment Center, LLC
- Desiree Amber Cody
- Relvert J. Coe Jr.
- Hollie Coker
- Rachel Beth Coker
- Conifer Care,Inc.
All providers in Palestine, TX · Adult Health Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.