Individual provider Active NPI

Kasie D Cooper, PA-C

  • Physician Assistant
  • Helena, MT
National Provider Identifier
1598356164
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
122910 Issued in MT
Practice address
40 W 14TH St Ste 3
Helena, MT 59601-3385
Phone
(140) 683-9189
NPI assigned
Jan 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 122910 MT Primary

Addresses

Primary practice location

40 W 14TH St Ste 3
Helena, MT 59601-3385

Mailing address

40 W 14TH St Ste 3
Helena, MT 59601-3385
Phone (402) 272-5941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20230516001680 MT Practitioner - Physician Assistant 3375958069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Montana PLLCGroup PAC ID 9537593710, 15 clinicians
Guardian DermatologyGroup PAC ID 8820488968, 3 clinicians

Practice addresses (Care Compare)

24 E Broadway St
Butte, MT 59701-9334
Phone (406) 723-7272

40 W 14TH St
Suite 3
Helena, MT 59601-3385
Phone (406) 272-5941

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
122910MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients

Locations

515 N 162nd Ave
Ste 200
Omaha, NE 68118

Interoperability endpoints

  • Direct secure messaging: kasie.cooper@direct.nmhs.org

Organizations & group practices 3

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1598356164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W 14TH ST STE 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013385",
            "telephone_number": "402-272-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 14TH ST STE 3",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013385",
            "telephone_number": "140-683-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KASIE",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "122910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.