Active NPI
Kendell Nicole Cobb, MPA, PA-C
- Physician Assistant
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110006231
- Practice address
- 10004 Southpoint Pkwy
Fredericksburg, VA 22407-2705 - Phone
- (540) 252-3535
- NPI assigned
- Jun 11, 2018
- 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 | 0110006231 | VA | Primary |
Addresses
Primary practice location
10004 Southpoint Pkwy
Fredericksburg, VA 22407-2705
Mailing address
3508 Cedar LN
Portsmouth, VA 23703-3804
Phone (757) 537-6418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10004 Southpoint Pkwy
Fredericksburg, VA 22407-2705
Phone (540) 252-3535
300 N Washngton Hwy
Ashland, VA 23005-1626
Phone (804) 537-2905
46200 Potomac Run PLZ
Sterling, VA 20164-6622
Phone (571) 313-5087
4901 Plank Rd
Fredericksburg, VA 22407-6625
Phone (540) 870-6540
5215 W Broad St
Richmond, VA 23230-3009
Phone (804) 554-5688
6100 Harbourside Centre Loop
Midlothian, VA 23112-2170
Phone (804) 639-7555
6296 Mechanicsville Tpke
Mechanicsville, VA 23111-4577
Phone (804) 459-8300
Hospital & facility affiliations
- Spotsylvania Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110006231 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bettermed of North Carolina PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Sterling, VA
- NPI 1548702616
-
- Emergency Medicine Physician
- Norfolk, VA
- NPI 1033136841
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1144887324
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1376876664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1679066070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 CEDAR LN",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237033804",
"telephone_number": "757-537-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 SOUTHPOINT PKWY",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224072705",
"telephone_number": "540-252-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "KENDELL",
"middle_name": "NICOLE",
"credential": "MPA, PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-11",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110006231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; 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.