Individual provider Active NPI

Kaitlyn Grace Cobler, FNP-C

  • Family Nurse Practitioner
  • Stuart, VA
National Provider Identifier
1073093027
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024176508 Issued in VA
Practice address
18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone
(276) 694-4466
NPI assigned
Aug 20, 2018
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024176508 VA Primary

Addresses

Primary practice location

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223

Mailing address

238 Sheppard Mill Rd
Spencer, VA 24165-3512
Phone (276) 694-0220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190509001133 VA Practitioner - Nurse Practitioner 5991048183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

18877 Jeb Stuart Hwy
Stuart, VA 24171-5223
Phone 2766944466108

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick County Family Practice,PC Single Specialty CurrentSince Mar 1, 2019 Accepting new patients
Patrick Urgent Care CurrentSince Mar 1, 2019 Accepting new patients
Patrick County Family Practice PC Single Specialty Past Accepting new patients

Locations

18877 Jeb Stuart Hwy
Stuart, VA 24171
Phone (276) 694-4466

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61556
  • Direct secure messaging: kcobler@pcfamprac.directbygreenway.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1073093027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 SHEPPARD MILL RD",
            "city": "SPENCER",
            "state": "VA",
            "postal_code": "241653512",
            "telephone_number": "276-694-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18877 JEB STUART HWY",
            "city": "STUART",
            "state": "VA",
            "postal_code": "241715223",
            "telephone_number": "276-694-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBLER",
        "first_name": "KAITLYN",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024176508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, VA

Sources for this page

Verify at the official NPI Registry.