Individual provider Active NPI

Felicia Cooper

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1508314212
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010705 Issued in KY
Practice address
2605 Kentucky Ave
Suite 601
Paducah, KY 42003-3800
Phone
(270) 408-4368
Fax
(270) 408-3272
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010705 KY Primary

Addresses

Primary practice location

2605 Kentucky Ave
Suite 601
Paducah, KY 42003-3800

Mailing address

2605 Kentucky Ave
Suite 306
Paducah, KY 42003-3800
Phone (270) 415-7653

Other identifiers 1

IdentifierTypeStateIssuer
7100436490MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20161017002930 KY Practitioner - Nurse Practitioner 8527356948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Kentucky LLCGroup PAC ID 1153488648, 20 clinicians

Practice addresses (Care Compare)

225 Medical Ctr Dr
Suite 101
Paducah, KY 42003-7934
Phone (270) 441-4357

Hospital & facility affiliations

  • Mercy Health - Home Care, Paducah Home health agency, Paducah, KY, CCN 187100
  • Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
  • Baptist Health Paducah Hospital, Paducah, KY, CCN 180104

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC CurrentSince Sep 9, 2023 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Physicians Kentucky Specialty Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Physicians Kentucky LLC CurrentSince May 31, 2017 Accepting new patients
Mercy Health-Lourdes Hospital LLC Past Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

225 Medical Center Dr
Ste 304
Paducah, KY 42003
Phone (270) 441-4301

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

1532 Lone Oak Rd
Ste 320
Paducah, KY 42003
Phone (270) 415-3830

1532 Lone Oak Rd
Ste 245
Paducah, KY 42003
Phone (270) 538-5537

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

225 Medical Center Dr
Ste 101
Paducah, KY 42003
Phone (270) 441-4357

100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

Interoperability endpoints

  • Direct secure messaging: fcooper187203@direct.bsmhealth.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.

Hospital & facility affiliations 4

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": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1508314212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "SUITE 306",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-415-7653",
            "fax_number": "270-575-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 KENTUCKY AVE",
            "address_2": "SUITE 601",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033800",
            "telephone_number": "270-408-4368",
            "fax_number": "270-408-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100436490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.