Active NPI
Patricia B Cooper, APRN
- Nurse Practitioner
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2018035923
- Practice address
- 930 Carondelet Dr
Ste 201
Kansas City, MO 64114 - Phone
- (913) 956-2250
- NPI assigned
- May 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 110252 | NE | |
| Nurse Practitioner | 363L00000X | 2018035923 | MO | Primary |
Addresses
Primary practice location
930 Carondelet Dr
Ste 201
Kansas City, MO 64114
Mailing address
1000 Carondelet Dr
Provider Enrollment/Med Staff Office
Kansas City, MO 64114
Phone (816) 943-5744
Other practice location 1
7500 Mercy Rd
Omaha, NE 68124-2319
Phone (402) 398-5880
Other practice location 2
1000 Carondelet Dr
Ste 201B
Kansas City, MO 64114
Phone (913) 956-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47078557520 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088775 | IA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebraska Methodist Hospital | Current | Accepting new patients | |
| Shawnee Mission Medical Center Inc | Current | Accepting new patients | |
| Alegent Creighton Clinic | Past | Accepting new patients | |
| Prime Healthcare Services - Kansas City, LLC | Past | Accepting new patients |
Locations
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
9119 W 74th St
Ste 350
Shawnee Msn, KS 66204
Phone (913) 632-9400
16120 W Dodge Rd
Omaha, NE 68118
Phone (402) 354-0550
Interoperability endpoints
- pcooper74564@direct.nebraskamed.com
- patricia.cooper@direct.nmhs.org
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Omaha, NE
- NPI 1417912114
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
-
dba Methodist Hospital
- General Acute Care Hospital
- Omaha, NE
- NPI 1427147883
-
dba St. Joseph Medical Center
- General Acute Care Hospital
- Kansas City, MO
- NPI 1528463080
-
dba CHI Health Clinic
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bellevue Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Bellevue, NE
- NPI 1609007525
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572566400000",
"number": "1225096803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CARONDELET DR",
"address_2": "PROVIDER ENROLLMENT/MED STAFF OFFICE",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "816-943-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 CARONDELET DR",
"address_2": "STE 201",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64114",
"telephone_number": "913-956-2250"
}
],
"practiceLocations": [
{
"address_1": "7500 Mercy Rd",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681242319",
"country_code": "US",
"telephone_number": "402-398-5880",
"fax_number": "402-398-6716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Carondelet Dr",
"address_2": "Ste 201B",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "64114",
"country_code": "US",
"telephone_number": "913-956-2250",
"fax_number": "913-956-2251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPER",
"first_name": "PATRICIA",
"middle_name": "B",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2019-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NE",
"license": "110252",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2018035923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47078557520",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.