Staci Rachelle Cochran, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Flippin, AR
NPI 1508337643 · NPPES record last updated Sep 3, 2022
Key facts
- NPI
- 1508337643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A006013 (AR)
- Practice address
- 806 E Main St
Flippin, AR 72634-8668 - Phone
- (870) 453-2266
- Fax
- (870) 895-2164
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 35
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Medical Clinic Arkansas LTC LLC
Practice addresses (Care Compare)
444 Taylor Cir
Cave City, AR 72521-9137
Phone (870) 376-2844
942 Hwy 65 N
Marshall, AR 72650-7772
Phone (888) 518-1418
Hospital & facility affiliations
- Baxter Health Fulton County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20220916001919 | AR | Practitioner - Nurse Practitioner | 4789069428 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A006013 | AR | MD | Family Nurse Practitioner |
Practice roles
Locations
49 Highway 62 412
Ash Flat, AR 72513
Phone (573) 718-2570
49 Highway 62 412
Ste 412
Ash Flat, AR 72513
3519 Highway 63
Black Rock, AR 72415
Phone (870) 878-4005
10144 Highway 63 N
#A
Bono, AR 72416
Phone (870) 520-6069
444 Taylor Cir
Cave City, AR 72521
Phone (870) 376-2844
1176 State Highway 22 W
Ste B
Dardanelle, AR 72834
Phone (479) 229-3004
806 E Main St
Flippin, AR 72634
Phone (870) 219-7706
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
202 Newsome Dr
Marked Tree, AR 72365
Phone (870) 358-4355
3809 E 9th St
Ste 15
Texarkana, AR 71854
Phone (870) 621-0080
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
Interoperability endpoints
- staci.cochran.1@29938.direct.athenahealth.com
- staci.cochran.1@2424.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A006013 | AR | Yes |
Addresses
Primary practice location
806 E Main St
Flippin, AR 72634-8668
Mailing address
4196 Highway 62 412
Hardy, AR 72542-8002
Other names
- Staci Rachelle Payne
Other providers in Flippin, AR
- Access Medical Clinic Arkansas LLC
- Baxter County Regional Hospital, Inc.
- Nila R. Booth
- Kailey Chatelain
- Gary Fancher
- Flippin Nursing Center, Inc.
- Flippin School
- FPNC, Inc.
- David Glenn Fulghum
All providers in Flippin, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2022. 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.