Active NPI
Ann-Marie Natalee Cobb, PA-C
- Physician Assistant
- Laplata, MD
National Provider Identifier
1104927748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C-0003406
- Practice address
- 701 East Charles Street
Laplata, MD 20646 - Phone
- (301) 609-4520
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C-0003406 | MD | Primary |
Addresses
Primary practice location
701 East Charles Street
Laplata, MD 20646
Mailing address
3721 Halloway N
Upper Marlboro, MD 20772-3213
Phone (202) 904-8599
Other names 1
- Miss Ann-Marie Natalee Cobb
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090504000537 | MD | Practitioner - Physician Assistant | 9436207263 | Reassigns benefits to 4 organizations |
| I20131008000844 | DC | Practitioner - Physician Assistant | 9436207263 | Reassigns benefits to 1 organization |
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
- Kidney Medical Associates IncMdics at Civista LLC
Practice addresses (Care Compare)
4475 Regency PL
Suite 201
White Plains, MD 20695-3074
Phone (301) 638-7802
5 Garrett Ave
La Plata, MD 20646-5960
Phone (443) 949-0814
Hospital & facility affiliations
- University of MD Charles Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-0003406 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Inpatient Care Specialists LLC | Past | Accepting new patients |
Interoperability endpoints
- annmarie.cobb@direct.davitaphysiciansolutions.com
- acobb547938@direct.umm.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1255417200
Hospital & facility affiliations 2
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": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240358400000",
"number": "1104927748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 HALLOWAY N",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207723213",
"telephone_number": "202-904-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 EAST CHARLES STREET",
"city": "LAPLATA",
"state": "MD",
"postal_code": "20646",
"telephone_number": "301-609-4520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "ANN-MARIE",
"middle_name": "NATALEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2009-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C-0003406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN-MARIE",
"last_name": "COBB",
"middle_name": "NATALEE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Laplata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.