Emily Joanne Cooper, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.18716-NP Issued in OH

Practice address

50 N Progress Dr
Xenia, OH 45385-2666

Phone

(937) 562-2280

Fax

(937) 562-2282

NPI assigned

Mar 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Surgical Wound Care IncGroup PAC ID 7416948153, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kettering Health Greene Memorial Hospital, Xenia, OH, CCN 360026
• Kettering Health Dayton Hospital, Dayton, OH, CCN 360133
• Soin Medical Center Hospital, Beaver Creek, OH, CCN 360360

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northeast Surgical Wound Care, Inc.

  • Surgery Physician
  • Independence, OH
  • NPI 1649215583
  Medicare reassignment Care Compare group
• United Wound & Vascular Institute Ohio PLLC

  • Family Medicine Physician
  • Independence, OH
  • NPI 1477311959
  Medicare reassignment NPD
• Healing Partners Plus PLLC

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1063217545

  OH

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beavercreek Medical Center

  dba Soin Medical Center

  • General Acute Care Hospital
  • Beavercreek, OH
  • NPI 1760764849
  Care Compare affiliation
• Dayton Osteopathic Hospital

  dba Kettering Health Dayton

  • General Acute Care Hospital
  • Dayton, OH
  • NPI 1053339507
  Care Compare affiliation
• Greene Memorial Hospital Inc

  dba Kettering Health Greene Memorial

  • General Acute Care Hospital
  • Xenia, OH
  • NPI 1255317848
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1093176539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PROGRESS DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852666",
            "telephone_number": "937-562-2280",
            "fax_number": "937-562-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PROGRESS DR",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453852666",
            "telephone_number": "937-562-2280",
            "fax_number": "937-562-2282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6100 Rockside Woods Blvd N",
            "address_2": "Suite 425",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441312366",
            "country_code": "US",
            "telephone_number": "216-643-2780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "EMILY",
        "middle_name": "JOANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.18716-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "50 N Progress Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecooper582594@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "50 N Progress Dr",
            "city": "Xenia",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453852666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany Combs, LPCC
• Mara Compston, STNA
• Hannah Lynn Conkel, COTA/L
• Jill Alison Conkle, PHYSICIAN ASSISTANT
• Beverly Ann Conner
• Lance Cooper
• Emily Cordell
• Rose Marie Corkum
• Alicia Cormier
• Amy Cornelius, CPRS

• Family Nurse Practitioner in Xenia, OH
• Providers in Xenia, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.