Stephanie Marie Cooper, FNP
Individual provider Active NPI Family Nurse Practitioner · Rogersville, TN
NPI 1487052429 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1487052429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- ANP0000019393 (TN)
- Practice address
- 405 Scenic Dr Ste B
Rogersville, TN 37857-2441 - Phone
- (423) 272-2111
- NPI assigned
- Dec 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellmont Medical Associates Inc
Practice addresses (Care Compare)
405 Scenic Dr
Suite a
Rogersville, TN 37857-2441
Phone (423) 272-2111
Hospital & facility affiliations
- Adoration Home Health
- Amedisys Home Health Care
- Greeneville Community Hospital
- Hawkins County Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20150918000188 | TN | Practitioner - Nurse Practitioner | 1052628302 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ANP0000019393 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Health System | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Wellmont Health System | Current |
Accepting new patients | |
| Wellmont Health System | Current |
Accepting new patients | |
| Blue Ridge Medical Management Corporation | Family | Past | Accepting new patients |
Locations
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
105 W Stone Dr
Ste 6A
Kingsport, TN 37660
Phone (423) 408-7220
405 Scenic Dr
Ste B
Rogersville, TN 37857
Phone (423) 272-2111
405 Scenic Dr
Ste A
Rogersville, TN 37857
Phone (423) 272-2111
1519 Main St
Sneedville, TN 37869
Phone (423) 733-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ANP0000019393 | TN | Yes |
Addresses
Primary practice location
405 Scenic Dr Ste B
Rogersville, TN 37857-2441
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
2104 E Andrew Johnson Hwy
Morristown, TN 37814-5412
Phone (423) 307-1900
Other practice location 2
1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000
Other practice location 3
111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone (423) 224-3701
Other providers in Rogersville, TN
- Stephen R Cirelli
- Clear Mountain Counseling PLLC
- Closet Chronicles LLC
- Gary L Collins
- Kim A Collinson
- Lori A. Correll
- Emily Beth Crawford
- Nancy Anne Crider
- Sarah Shea Crook
- John V Crotty
All providers in Rogersville, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. 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.