Individual provider Active NPI

Lacy Mae Cooper, FNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1780143081
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP019976 Issued in PA
Practice address
816 Middle St
Pittsburgh, PA 15212-4915
Phone
(412) 321-4001
NPI assigned
Mar 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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 SP019976 PA Primary

Addresses

Primary practice location

816 Middle St
Pittsburgh, PA 15212-4915

Mailing address

953 Haslage Ave
Pittsburgh, PA 15212-3427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210720001605 PA Practitioner - Nurse Practitioner 8224431812 Reassigns benefits to 1 organization

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
Primary Care Health Services, Inc.Group PAC ID 7012825722, 17 clinicians

Practice addresses (Care Compare)

7227 Hamilton Ave
Pittsburgh, PA 15208-1814

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Health Services, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Primary Care Health Services, Inc. Current Accepting new patients
Primary Care Health Services Inc CurrentSince Aug 1, 2022 Accepting new patients
Primary Care Health Services Inc. Past Accepting new patients

Locations

415 Neptune St
Pittsburgh, PA 15220
Phone (412) 921-7200

7225 Hamilton Ave
Pittsburgh, PA 15208
Phone (412) 244-4700

Interoperability endpoints

  • Direct secure messaging: lcooper@pchspitt.medentdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1552694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1780143081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 HASLAGE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152123427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 MIDDLE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124915",
            "telephone_number": "412-321-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "LACY",
        "middle_name": "MAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-16",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP019976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.