Individual provider Active NPI

Carla Ann Cochran, NP-C, FNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Medford, OR
National Provider Identifier
1003284068
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
201908955NP Issued in OR
Practice address
555 Black Oak Dr.
Suite 300
Medford, OR 97504-8491
Phone
(903) 463-0003
NPI assigned
Sep 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 97764 OK
Family Nurse Practitioner 363LF0000X 771115 TX
Family Nurse Practitioner 363LF0000X AP128979 TX
Acute Care Nurse Practitioner 363LA2100X 201908955NP OR Primary

Addresses

Primary practice location

555 Black Oak Dr.
Suite 300
Medford, OR 97504-8491

Mailing address

2825 E Barnett Rd.
MSS
Medford, OR 97504-8332
Phone (541) 789-4281

Other practice location 1

5012 S US Highway 75
Suite 290
Denison, TX 75020-4587
Phone (903) 465-5012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20191101001415 OR Practitioner - Nurse Practitioner 0345544573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

555 Black Oak Dr
Medford, OR 97504-8491

625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
97764OKMDAcute Care Nurse Practitioner
201908955NPORMDAcute Care Nurse Practitioner
771115TXMDFamily Nurse Practitioner
AP128979TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asante Physician Partners CurrentSince Sep 30, 2019 Accepting new patients
Advanced Kidney Care PLLC PastSince Feb 14, 2019 Accepting new patients

Locations

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2825 E Barnett Rd
Ofc
Medford, OR 97504

555 Black Oak Dr
Ste 300
Medford, OR 97504
Phone (541) 494-2000

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

555 Black Oak Dr
Ste 300A
Medford, OR 97504
Phone (541) 732-7960

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBACBD/Endpoint/HBACBD

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 and National Provider Directory roles.

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1003284068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E BARNETT RD.",
            "address_2": "MSS",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-789-4281",
            "fax_number": "541-789-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BLACK OAK DR.",
            "address_2": "SUITE 300",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048491",
            "telephone_number": "903-463-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5012 S US Highway 75",
            "address_2": "Suite 290",
            "address_purpose": "LOCATION",
            "city": "Denison",
            "state": "TX",
            "postal_code": "750204587",
            "country_code": "US",
            "telephone_number": "903-465-5012",
            "fax_number": "903-771-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "CARLA",
        "middle_name": "ANN",
        "credential": "NP-C, FNP, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "97764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "771115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128979",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "201908955NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.