Kelly Lynn Cobb, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201882 Issued in NC

Practice address

189 County Park Rd
Yanceyville, NC 27379-9376

Phone

(336) 694-4129

Fax

(336) 694-7030

NPI assigned

Jan 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of CaswellGroup PAC ID 1052334372, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• County of Caswell

  • State or Local Public Health Clinic/Center
  • Yanceyville, NC
  • NPI 1194858498
  Medicare reassignment Care Compare group
• Neuse River Emergency Physicians

  • Emergency Medicine Physician
  • Roxboro, NC
  • NPI 1467616862
  NPD (past)
• Person Emergency Physicans PA

  • Emergency Medicine Physician
  • Roxboro, NC
  • NPI 1558327726
  NPD (past)
• Person Emergency Services PLLC

  • Emergency Medicine Physician
  • Roxboro, NC
  • NPI 1588934723
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1316926348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 NC HIGHWAY 86 S",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273799426",
            "telephone_number": "336-694-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 COUNTY PARK RD",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273799376",
            "telephone_number": "336-694-4129",
            "fax_number": "336-694-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kayoulah Bourne
• Burlington Care Center
• Caswell County Schools
• Caswell House One, LLC
• Michael James Chapman, RRT-NPS
• Compassion Health Care Inc
• Compassion Health Care Inc
• Compassion Health Care Inc
• Compassion Health Care Inc
• Compassion Health Care Inc

• Family Nurse Practitioner in Yanceyville, NC
• Providers in Yanceyville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.

Verify at the official NPI Registry.