Cora Compton, FNP-C
Individual provider Active NPI Family Nurse Practitioner · San Angelo, TX
NPI 1457774283 · NPPES record last updated Feb 12, 2018
Key facts
- NPI
- 1457774283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 787922 (TX)
- Practice address
- 4450 Sunset Dr
San Angelo, TX 76901-5611 - Phone
- (325) 658-1511
- NPI assigned
- Jan 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Shannon Clinic
Dora Roberts Rehabilitation Center
The West Texas Rehabilitation Center
Practice addresses (Care Compare)
2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone (325) 747-1511
306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806
4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411
Hospital & facility affiliations
- Shannon Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.63 of 100
- Quality
- 78.21
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140312000777 | TX | Practitioner - Nurse Practitioner | 2163652264 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP124575 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Employee Assistance Program Inc | Current |
Accepting new patients | |
| Regional Employee Assistance Program Inc | Current |
Accepting new patients | |
| Regional Employee Assistance Program Inc | Current | Accepting new patients | |
| Shannon Clinic | Current |
Accepting new patients | |
| Shannon Clinic | Past | Accepting new patients |
Locations
2626 N Bryant Blvd
San Angelo, TX 76903
Phone (325) 481-2000
2237 S Jackson St
San Angelo, TX 76904
Phone (325) 481-2257
4450 Sunset Dr
San Angelo, TX 76901
Phone (325) 481-2286
3535 Knickerbocker Rd
San Angelo, TX 76904
Phone (915) 947-6495
5730 Sherwood Way
San Angelo, TX 76901
Phone (325) 944-3851
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
Interoperability endpoints
- ccompton6421@shannonhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP124575 | TX | |
| Family Nurse Practitioner | 363LF0000X | 787922 | TX | Yes |
Addresses
Primary practice location
4450 Sunset Dr
San Angelo, TX 76901-5611
Mailing address
PO Box 22000
San Angelo, TX 76902-7200
Phone (325) 658-1511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330781101 | Medicaid | TX | |
| 334746YKRY | Other | TX | PTAN |
| 8017NH | Other | TX | BCBS |
Other providers in San Angelo, TX
- Roger C Collins
- Mary Kathleen Colunga
- Jenny Combest
- Community Pharmacy
- Kirsten Comparetto
- Ruby Compton
- Johnnie Lee Nora Comstock
- Concho Crossroads Counseling
- Concho Hearts Hospice, LLC
- Concho Medical Associates, PA
All providers in San Angelo, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.