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SALLY L. COBURN NP
NPI 1063535045
Nurse Practitioner - Family in Anchorage, AK

Active since April 06, 2007Opted out of Medicare · through Apr 1, 2028
3300 ARCTIC BLVD, STE 101, ANCHORAGE, AK 99503(907) 561-3488(907) 562-3488 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sally L. Coburn Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALLY L. COBURN NP (NPI 1063535045) is an individual family provider in Anchorage, Alaska, licensed in Alaska (335) and active in the NPI registry since April 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063535045
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSALLY L. COBURNCredential: NP
Location Address3300 ARCTIC BLVD, STE 101Anchorage, AK 99503-4523
Mailing Address18828 Moose PlChugiak, AK 99567-6645 · (907) 854-8840
Phone(907) 561-3488
Fax(907) 562-3488
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
✔ NPI 1063535045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AK · 335
Also ListedDietitian, RegisteredTaxonomy 133V00000X
Also ListedDietitian, Registered · Nutrition, Obesity and Weight ManagementTaxonomy 133VN1201X
3300 ARCTIC BLVD, Anchorage, AK 99503
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sally L. Coburn Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDGAR PRENTISS COLTHARP JR. PA-C
Physician Assistant
3300 ARCTIC BLVD, # 101
ANCHORAGE, AK 99503
Anchorage Municipality (907) 561-3488
HENRY ALLEN CHAPMAN PA-C
Physician Assistant
3300 ARCTIC BLVD, SUITE 101
ANCHORAGE, AK 99503
Anchorage Municipality (907) 561-3488
ACCLIMATE ABA AK LLC
Behavior Analyst
3300 ARCTIC BLVD
ANCHORAGE, AK 99503
Anchorage Municipality (845) 826-2903

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sally Coburn's NPI number?

The NPI number for Sally Coburn is 1063535045. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Sally Coburn located?

Sally Coburn practices at 3300 Arctic Blvd Ste 101, Anchorage, AK 99503. The listed phone number is (907) 561-3488.

What is Sally Coburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sally Coburn enrolled in Medicare?

No. Sally Coburn has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sally Coburn was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.