Individual provider Active NPI

Sara Cooley, NP-C

  • Family Nurse Practitioner
  • Iuka, MS
National Provider Identifier
1164891438
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R874786 Issued in MS
Practice address
1507 W Quitman St
Iuka, MS 38852-1132
Phone
(662) 423-1000
Fax
(662) 423-1316
NPI assigned
Sep 17, 2015
Last updated
Dec 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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 R874786 MS Primary

Addresses

Primary practice location

1507 W Quitman St
Iuka, MS 38852-1132

Mailing address

1507 W Quitman St
Iuka, MS 38852-1132
Phone (662) 423-1000

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
I20160218000496 MS Practitioner - Nurse Practitioner 8426353160 Reassigns benefits to 2 organizations

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
Kelly S Segars MD PCGroup PAC ID 2961313853, 5 clinicians

Practice addresses (Care Compare)

1507 W Quitman St
Iuka, MS 38852-1132
Phone (662) 423-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.78 of 100Reported as group
Quality
90.53
Promoting interoperability
98
Improvement activities
40
Cost
76.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R874786MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly S Segars MD PC CurrentSince Jan 11, 2016 Accepting new patients
Mineral Springs Health Care,PLLC CurrentSince Jan 27, 2017 Accepting new patients
North Mississippi Medical Center Current Accepting new patients

Locations

1507 W Quitman St
Iuka, MS 38852
Phone (662) 423-1000

Interoperability endpoints

  • Direct secure messaging: saracooley@nmhs.medalliesdirect.net

Organizations & group practices 3

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 4

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1164891438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521132",
            "telephone_number": "662-423-1000",
            "fax_number": "662-423-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 W QUITMAN ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521132",
            "telephone_number": "662-423-1000",
            "fax_number": "662-423-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "SARA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R874786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.