Individual provider Active NPI

Christa Renee Cooper, APRN

  • Acute Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1245697085
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN.CNP.18500 Issued in OH
Practice address
3130 Highland Ave
Cincinnati, OH 45219-2399
Phone
(513) 584-4061
Fax
(513) 584-3349
NPI assigned
Jan 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN.CNP.18500 OH Primary
Nurse Practitioner 363L00000X 3009885 KY

Addresses

Primary practice location

3130 Highland Ave
Cincinnati, OH 45219-2399

Mailing address

PO Box 636256
Cincinnati, OH 45263-6256
Phone (513) 585-6200

Other practice location 1

1 Medical Village Dr
Edgewood, KY 41017-3403
Phone (859) 757-2927

Other practice location 2

3700 Southern Blvd Ste 300
Kettering, OH 45429-1265
Phone (937) 643-9299

Other names 1

  • Christa Renee Bain Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address ccooper886225@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160825002309 OH Practitioner - Nurse Practitioner 4486949799 Reassigns benefits to 4 organizations
I20220919000149 KY Practitioner - Nurse Practitioner 4486949799 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians
Hospital Medicine Services of Ohio, Inc.Group PAC ID 6103997747, 33 clinicians

Practice addresses (Care Compare)

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

3700 Southern Blvd
Suite 300
Kettering, OH 45429-1265
Phone (937) 558-3214

610 W Main St
Wilmington, OH 45177-2194
Phone (937) 382-9284

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
63.67
Promoting interoperability
100
Improvement activities
40
Cost
74.14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.18500OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Jeffrey Leider MD PLLC CurrentSince Sep 23, 2024 Accepting new patients
Hospital Medicine Services of Ohio, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Group, Inc. CurrentSince Sep 26, 2022 Accepting new patients
University of Cincinnati Medical Center, LLC Nurse Practitioner Current Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Nurse Practitioner CurrentSince Feb 24, 2022 Accepting new patients
University of Cincinnati Physicians Company, LLC Nurse Practitioner CurrentSince Jun 15, 2016 Accepting new patients
Summit Medical Group, Inc Nurse Practitioner CurrentSince Sep 26, 2022 Accepting new patients
Jeffrey Leider MD PLLC CurrentSince Sep 23, 2024 Accepting new patients
Alliance Physicians Inc Current Accepting new patients

Locations

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

7700 Washington Village Dr
Ste 230
Dayton, OH 45459
Phone (937) 438-0099

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3700 Southern Blvd
Ste 300
Kettering, OH 45429
Phone (937) 395-8002

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

9275 Montgomery Rd
Montgomery, OH 45242
Phone (513) 936-4510

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

7675 Wellness Way
West Chester, OH 45069
Phone (513) 475-7400

Organizations & group practices 11

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": "1453680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1245697085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636256",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636256",
            "telephone_number": "513-585-6200",
            "fax_number": "513-245-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 HIGHLAND AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192399",
            "telephone_number": "513-584-4061",
            "fax_number": "513-584-3349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-757-2927",
            "fax_number": "859-341-0203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Southern Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291265",
            "country_code": "US",
            "telephone_number": "937-643-9299",
            "fax_number": "937-643-2343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHRISTA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-25",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.18500",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3009885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3700 Southern Blvd Ste 300",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccooper886225@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3700 Southern Blvd Ste 300",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTA",
            "last_name": "BAIN",
            "middle_name": "RENEE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.