Jessica Coppock, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

114199 Issued in KS

Practice address

B430 Ku Hospital
Mail Stop 4022 3901 Rainbow Blvd
Kansas City, KS 66160-0001

Phone

(913) 588-6673

NPI assigned

Dec 14, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Labette County Medical CenterGroup PAC ID 5496664369, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Labette Health Hospital, Parsons, KS, CCN 170120
• Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001

Merit-based Incentive Payment System (MIPS)

Final score

48.28 of 100Reported as group

Quality

21.69

Improvement activities

40

Cost

71.16

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Labette County Medical Center

  dba LCMC ER Physician Group

  • Family Medicine Physician
  • Parsons, KS
  • NPI 1336133362
  Medicare reassignment Care Compare group NPD
• Wilson County Hospital

  • Critical Access Hospital
  • Neodesha, KS
  • NPI 1669441176
  Medicare reassignment
• Four States Anesthesia Services LLC

  • Certified Registered Nurse Anesthetist
  • Joplin, MO
  • NPI 1053382929

  KS

  Medicare reassignment
• Labette County Medical Center

  dba Labette Health Pittsburg Clinic

  • Rural Health Clinic/Center
  • Pittsburg, KS
  • NPI 1205524113
  NPD
• Labette County Medical Center

  dba Specialty Group of Labette Health

  • Anesthesiology Physician
  • Parsons, KS
  • NPI 1811981293
  NPD
• Kansas University Physicians Inc

  dba KU Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Kansas City, KS
  • NPI 1497891329
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Labette County Medical Center

  dba Labette Health

  • General Acute Care Hospital
  • Parsons, KS
  • NPI 1578560421
  Care Compare affiliation
• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1568906246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11033 WOODSON RD",
            "city": "OSWEGO",
            "state": "KS",
            "postal_code": "673568701",
            "telephone_number": "620-778-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B430 KU HOSPITAL",
            "address_2": "MAIL STOP 4022 3901 RAINBOW BLVD",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOCK",
        "first_name": "JESSICA",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "114199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Joel Cooper, DO
• Kaitlyn Cooper
• Kelsie L Cooper, APRN-CNP
• Maddison Nicole Cooper, MD
• Andrew Coppage, APRN
• Corbin Medical Group Chartered
• Larry Donald Cordell, MD
• April Cordero
• Alanis Cordova, MD
• Core Life Therapy, LLC

• Certified Registered Nurse Anesthetist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.