Individual provider Active NPI

Christina Cossou, FNP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1013459312
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016040128 Issued in MO
Practice address
2116 Megan Dr Ste 102
Cape Girardeau, MO 63701
Phone
(573) 335-7546
Fax
(573) 335-7550
NPI assigned
Nov 17, 2016
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016040128 MO Primary

Addresses

Primary practice location

2116 Megan Dr Ste 102
Cape Girardeau, MO 63701

Mailing address

2116 Megan Dr Ste 102
Cape Girardeau, MO 63701-1979
Phone (573) 335-7546

Other practice location 1

16555 Manchester Rd
Grover, MO 63040-1220
Phone (636) 405-3155

Other identifiers 1

IdentifierTypeStateIssuer
MA2057008OtherPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccossou@moon.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20161221000714 MO Practitioner - Nurse Practitioner 6406137918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Southeast Missouri PCGroup PAC ID 3678612108, 9 clinicians

Practice addresses (Care Compare)

2116 Megan Dr
Suite 102
Cape Girardeau, MO 63701-1979
Phone (573) 335-7546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016040128MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
Saint Francis Medical Center CurrentSince Apr 1, 2020 Accepting new patients
Advanced Dermatology of Southeast Missouri PC CurrentSince Oct 1, 2019 Accepting new patients
Cape Laboratory & Pathology, LC Current Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

2116 Megan Dr
Ste 102
Cpe Girardeau, MO 63701
Phone (573) 335-7546

115 E Business US Highway 60
Dexter, MO 63841
Phone (573) 614-5007

Interoperability endpoints

  • Direct secure messaging: ccossou1@moon.emadirect.md

Organizations & group practices 4

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 3

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": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1013459312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 MEGAN DR STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011979",
            "telephone_number": "573-335-7546",
            "fax_number": "573-335-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 MEGAN DR STE 102",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "63701",
            "telephone_number": "573-335-7546",
            "fax_number": "573-335-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16555 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Grover",
            "state": "MO",
            "postal_code": "630401220",
            "country_code": "US",
            "telephone_number": "636-405-3155",
            "fax_number": "636-405-3162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COSSOU",
        "first_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016040128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "MA2057008",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccossou@moon.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2116 Megan Dr Ste 102",
            "city": "Cape Girardeau",
            "state": "MO",
            "country_code": "US",
            "postal_code": "637011979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.