Active NPI
Mitchell Cobia, NP
- Family Nurse Practitioner
- Ogden, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11283398-4405
- Practice address
- 686 13TH St
Ogden, UT 84404-5810 - Phone
- (801) 540-6667
- NPI assigned
- Oct 8, 2024
- Last updated
- Oct 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11283398-4405 | UT | Primary |
Addresses
Primary practice location
686 13TH St
Ogden, UT 84404-5810
Mailing address
686 13TH St
Ogden, UT 84404-5810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2755 Silver Creek Rd
Suite 107
Bullhead City, AZ 86442-8343
Phone (725) 251-3522
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11283398-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona S Advanced Wound Care LLC | Family | Current | Accepting new patients |
| JD Medical Behavioral Health Corp | Family | Current | Accepting new patients |
Locations
2755 Silver Creek Rd
Bullhead City, AZ 86442
Phone (725) 251-3522
2755 Silver Creek Rd
Ste 107
Bullhead City, AZ 86442
Phone (725) 251-3522
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1114721305
-
dba JD Medical Group LLC DBA JD Medica
- Behavior Technician
- Las Vegas, NV
- NPI 1437019759
AZ, Family
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Canyon Home Care & Hospice
- Home Health Agency
- Gilbert, AZ
- NPI 1427328004
-
dba Valley View Home Health
- Home Health Agency
- Bullhead City, AZ
- NPI 1265979033
-
dba Family Care Home Health Agency
- Home Health Agency
- Bullhead City, AZ
- NPI 1053834887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1629897442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 13TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844045810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 13TH ST",
"city": "OGDEN",
"state": "UT",
"postal_code": "844045810",
"telephone_number": "801-540-6667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBIA",
"first_name": "MITCHELL",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "11283398-4405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.