Individual provider Active NPI

Staci Rachelle Cochran, FNP-C

  • Family Nurse Practitioner
  • Flippin, AR
National Provider Identifier
1508337643
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A006013 Issued in AR
Practice address
806 E Main St
Flippin, AR 72634-8668
Phone
(870) 453-2266
Fax
(870) 895-2164
NPI assigned
Dec 16, 2018
Last updated
Sep 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

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 A006013 AR Primary

Addresses

Primary practice location

806 E Main St
Flippin, AR 72634-8668

Mailing address

4196 Highway 62 412
Hardy, AR 72542-8002

Other names 1

  • Staci Rachelle Payne Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20220916001919 AR Practitioner - Nurse Practitioner 4789069428 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A006013ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley Bibb MD PLLC CurrentSince Sep 1, 2022 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Sep 1, 2022 Accepting new patients
Bradley Bibb MD PLLC CurrentSince Sep 1, 2022 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Sep 1, 2022 Accepting new patients
Bradley Bibb MD PLLC Current Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 11, 2023 Accepting new patients
Access Medical Clinic Arkansas LTC LLC CurrentSince Nov 11, 2023 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Bradley Bibb MD PLLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

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

  • Direct secure messaging: staci.cochran.1@2424.direct.athenahealth.com
  • Direct secure messaging: staci.cochran.1@29938.direct.athenahealth.com

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 29

Hospital & facility affiliations 1

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662163200000",
    "number": "1508337643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E MAIN ST",
            "city": "FLIPPIN",
            "state": "AR",
            "postal_code": "726348668",
            "telephone_number": "870-453-2266",
            "fax_number": "870-895-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "STACI",
        "middle_name": "RACHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A006013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "PAYNE",
            "middle_name": "RACHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flippin, AR

Sources for this page

Verify at the official NPI Registry.