Individual provider Active NPI

Bambi Elayne Cohen, PA-C

  • Surgical Physician Assistant
  • Westminster, MD
National Provider Identifier
1194002907
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
C05397 Issued in MD
Practice address
295 Stoner Ave Ste 102
Westminster, MD 21157-5662
Phone
(410) 848-1818
Fax
(410) 871-7964
NPI assigned
Nov 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0010-03207 NC
Surgical Physician Assistant 363AS0400X C05397 MD Primary

Addresses

Primary practice location

295 Stoner Ave Ste 102
Westminster, MD 21157-5662

Mailing address

PO Box 45962
Baltimore, MD 21297-5962
Phone (410) 469-4178

Other names 1

  • B. Elayne Cohen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20141029002127 MD Practitioner - Physician Assistant 7517131592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

193 Stoner Ave
Suite 220
Westminster, MD 21157-6881
Phone (410) 876-3380

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

295 Stoner Ave
Westminster, MD 21157-5662

Hospital & facility affiliations

  • Carroll Hospital Center Hospital, Westminster, MD, CCN 210033

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C05397MDMDSurgical Physician Assistant
0010-03207NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Health Group, LLC Surgical CurrentSince Nov 11, 2015 Accepting new patients
Carroll Health Group, LLC PastSince Apr 27, 2025 Accepting new patients

Locations

295 Stoner Ave
Ste 102
Westminster, MD 21157
Phone (410) 848-1818

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1194002907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45962",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212975962",
            "telephone_number": "410-469-4178",
            "fax_number": "410-469-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 STONER AVE STE 102",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575662",
            "telephone_number": "410-848-1818",
            "fax_number": "410-871-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BAMBI",
        "middle_name": "ELAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-03207",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C05397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B.",
            "last_name": "COHEN",
            "middle_name": "ELAYNE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.