TORBERTHA PANNOR MAXWELL FNP-C
NPI 1467006577
Nurse Practitioner - Family in Marina Del Rey, CA
About Torbertha Pannor Maxwell Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TORBERTHA PANNOR MAXWELL FNP-C (NPI 1467006577) is an individual family provider in Marina Del Rey, California, licensed in California (F04190241) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Torbertha Pannor Maxwell Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Torbertha Maxwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pasadena, CA 91101
- Reassigned Medicare billing, California enrollment
- 241 clinicians in this Medicare group
Oakland, CA 94603
- Reassigned Medicare billing, California enrollment
- 25 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 90292 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
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 Torbertha Maxwell's NPI number?
The NPI number for Torbertha Maxwell is 1467006577. It was assigned to this individual provider in the NPPES registry on July 26, 2019. The provider is also known as Torbertha Pannor Torbon Fnp-C.
Where is Torbertha Maxwell located?
Torbertha Maxwell practices at 4650 Lincoln Blvd, Marina Del Rey, CA 90292. The listed phone number is (310) 823-8911.
What is Torbertha Maxwell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Torbertha Maxwell enrolled in Medicare?
Yes. Torbertha Maxwell 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 Torbertha Maxwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Torbertha Maxwell reassigns Medicare benefits to 2 organizations: Carbon Health Medical Group Of California PC (Pasadena, CA) and Roots Community Health Center (Oakland, CA). 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 Torbertha Maxwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Torbertha Maxwell was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Torbertha Pannor Maxwell, FNP-C · NPI 1467006577
Family physician in Marina Del Rey, California. Individual provider, active in the CMS NPPES registry since July 26, 2019.
## Identity
- **NPI:** 1467006577 (Entity type: Individual)
- **Enumerated:** July 26, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F04190241 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4650 LINCOLN BLVD, Marina Del Rey, CA 90292-6306
- **Phone:** (310) 823-8911
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Carbon Health Medical Group Of California PC (NPI 1255957205, Pasadena, CA); Roots Community Health Center (NPI 1083858823, Oakland, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467006577) · Data from the CMS NPPES public registry.