Individual provider Active NPI

Melissa Cooley

  • Nurse Practitioner
  • Boerne, TX
National Provider Identifier
1336699701
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP131976 Issued in TX
Practice address
40 Brandt Rd
Boerne, TX 78006-5707
Phone
(210) 365-7561
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 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 AP131976 TX Primary

Addresses

Primary practice location

40 Brandt Rd
Boerne, TX 78006-5707

Mailing address

40 Brandt Rd
Boerne, TX 78006-5707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170113002324 TX Practitioner - Nurse Practitioner 0244512846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolmed PLLCGroup PAC ID 6406190867, 2 clinicians
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

525 Oak Centre Dr
Suite 230
San Antonio, TX 78258-3916
Phone (210) 463-9230

5915 Silver Springs Dr
BLDG 3a
El Paso, TX 79912-4126
Phone (706) 296-8632

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coolmed PLLC CurrentSince Nov 1, 2018 Accepting new patients

Locations

525 Oak Centre Dr
Ste 230
San Antonio, TX 78258
Phone (210) 267-5400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIBHCD/Endpoint/IIBHCD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1336699701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BRANDT RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BRANDT RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780065707",
            "telephone_number": "210-365-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP131976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.