Individual provider Active NPI

Anna Cooper, WHNP, AGNP-C

  • Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1043664972
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
901415 Issued in MS
Practice address
100 Medical Park Dr
Starkville, MS 39759-4477
Phone
(662) 323-4427
NPI assigned
Apr 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 901415 MS Primary

Addresses

Primary practice location

100 Medical Park Dr
Starkville, MS 39759-4477

Mailing address

100 Medical Park Dr
Starkville, MS 39759-4477
Phone (662) 323-4427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20160520000148 MS Practitioner - Nurse Practitioner 1153610787 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
Group practices
Starkville Clinic for Women, PAGroup PAC ID 2264506286, 9 clinicians

Practice addresses (Care Compare)

100 Medical Park Dr
Starkville, MS 39759-4477
Phone (662) 323-4427

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
901415MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Starkville Clinic for Women, PA CurrentSince Jun 1, 2016 Accepting new patients

Locations

100 Medical Park Dr
Starkville, MS 39759
Phone (662) 323-4427

Interoperability endpoints

  • Direct secure messaging: direct@scforwomen.directbygreenway.com

Organizations & group practices 1

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 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": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1043664972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PARK DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594477",
            "telephone_number": "662-323-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PARK DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594477",
            "telephone_number": "662-323-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "WHNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "901415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.