Kristen Rebecca Cooper, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4008140 Issued in KY

Practice address

1151 W 9TH St
Russellville, KY 42276-9760

Phone

(270) 847-4033

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Services of Ky LLCGroup PAC ID 9335505569, 42 clinicians

CG Medical Associates IncGroup PAC ID 6608052196, 171 clinicians

Practice addresses (Care Compare)

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.

• Emergency Medicine Services of Ky, LLC

  • Emergency Medicine Physician
  • Bowling Green, KY
  • NPI 1033816194

  Family

  Medicare reassignment Care Compare group NPD
• CG Medical Associates Inc

  • Urgent Care Clinic/Center
  • Cincinnati, OH
  • NPI 1982903951

  KY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1669155909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50017",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421022617",
            "telephone_number": "270-792-5389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 W 9TH ST",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422769760",
            "telephone_number": "270-847-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KRISTEN",
        "middle_name": "REBECCA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4008140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Hope Cerrato
• Dale Woodall Clark, DMD
• Clarksville Limb & Brace & Rehab., Inc. (Russellville Orthotics & Prosthetics)
• Commonwealth Health Corporation, Inc. (Med Center Health Logan Orthopaedics)
• Community Health Centers of Western Kentucky Inc
• Melissa D Corbin
• Rebecca Sue Coursey
• Terry A. Crafton, M.D.
• Creekwood Place Nursing & Rehab Center, Inc.
• Creekwood Place Opco LLC (Creekwood Place Nursing & Rehab Center)

• Family Nurse Practitioner in Russellville, KY
• Providers in Russellville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.