CALVIN JOHN COGBURN ARNP
NPI 1184764284
Nurse Practitioner - Psychiatric/Mental Health in Oak Harbor, WA

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
1155 SE CITY BEACH ST, UNIT 915, OAK HARBOR, WA 98277(360) 969-0915 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Calvin John Cogburn Arnp NPPES

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

CALVIN JOHN COGBURN ARNP (NPI 1184764284) is an individual psychiatric/mental health provider in Oak Harbor, Washington, licensed in Washington (AP30007600) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1184764284
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCALVIN JOHN COGBURNCredential: ARNP
Location Address1155 SE CITY BEACH ST, UNIT 915Oak Harbor, WA 98277-7009
Mailing AddressPo Box 915Oak Harbor, WA 98277-0915 · (360) 969-0915
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 6, 2015
✔ NPI 1184764284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP30007600
1155 SE CITY BEACH ST, Oak Harbor, WA 98277

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Calvin John Cogburn Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850495870
PECOS Enrollment IDI20070402000227
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Calvin Cogburn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmologic Surgery
231 SE BARRINGTON DR STE 208
Oak Harbor, WA 98277
  • Reassigned Medicare billing, Washington enrollment
  • 142 clinicians in this Medicare group
Multi-Specialty
809 W MAIN ST STE C
Monroe, WA 98272
  • Reassigned Medicare billing, Washington enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98277 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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 Calvin Cogburn's NPI number?

The NPI number for Calvin Cogburn is 1184764284. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Calvin Cogburn located?

Calvin Cogburn practices at 1155 SE City Beach St Unit 915, Oak Harbor, WA 98277. The listed phone number is (360) 969-0915.

What is Calvin Cogburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Calvin Cogburn enrolled in Medicare?

Yes. Calvin Cogburn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Calvin Cogburn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Calvin Cogburn reassigns Medicare benefits to 2 organizations: Whidbey Island Public Hospital District (Oak Harbor, WA) and Conquer Addiction PLLC (Monroe, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Calvin Cogburn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Calvin Cogburn accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Calvin Cogburn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Calvin Cogburn was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.