Individual provider Active NPI

Corbie B. Maibauer, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1992114425
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5779 Issued in AZ
Practice address
5301 E. Grant Rd.
Orthopaedic BLDG, 1St Floor
Tucson, AZ 85712-2805
Phone
(520) 784-6200
Fax
(520) 784-6109
NPI assigned
Aug 8, 2014
Last updated
Aug 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5779 AZ Primary
Medical Physician Assistant 363AM0700X 5779 AZ
Surgical Physician Assistant 363AS0400X 5779 AZ

Addresses

Primary practice location

5301 E. Grant Rd.
Orthopaedic BLDG, 1St Floor
Tucson, AZ 85712-2805

Mailing address

PO Box 31630
Tucson, AZ 85751-1630
Phone (520) 784-6200

Other practice location 1

6320 N. La Cholla Blvd.
#200
Tucson, AZ 85741-3549
Phone (520) 382-8200

Other names 1

  • Corbie Ball Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141028001817 AZ Practitioner - Physician Assistant 0547481905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 784-6200

6320 N la Cholla Blvd
Suite 200
Tucson, AZ 85741-3549
Phone (520) 382-8200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5779AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Orthopaedic Institute Professional Corporation Physician Assistant CurrentSince Sep 15, 2014 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physician Assistant CurrentSince Sep 15, 2014 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 201
Oro Valley, AZ 85755
Phone (520) 229-2080

10350 E Drexel Rd
Unit 120
Tucson, AZ 85747
Phone (520) 420-2280

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5301 E Grant Rd
Bldg 1
Tucson, AZ 85712

5301 E Grant Rd
Bldg 1ST
Tucson, AZ 85712

6320 N La Cholla Blvd
Ste 200
Tucson, AZ 85741

6320 N La Cholla Blvd
Ste 310
Tucson, AZ 85741
Phone (520) 219-9125

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.

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": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1992114425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31630",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511630",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 E. GRANT RD.",
            "address_2": "ORTHOPAEDIC BLDG, 1ST FLOOR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122805",
            "telephone_number": "520-784-6200",
            "fax_number": "520-784-6109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6320 N. La Cholla Blvd.",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413549",
            "country_code": "US",
            "telephone_number": "520-382-8200",
            "fax_number": "520-297-3505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIBAUER",
        "first_name": "CORBIE",
        "middle_name": "B.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5779",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5779",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "5779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORBIE",
            "last_name": "BALL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.