Active NPI
Corry Alan Coopmans, CRNA
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 124635
- Practice address
- 615 S New Ballas Rd
Saint Louis, MO 63141-8221 - Phone
- (314) 251-6064
- NPI assigned
- May 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 124635 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Mailing address
17873 Suzanne Ridge Dr
Wildwood, MO 63038-1474
Phone (636) 821-1999
Other practice location 1
1101 W Liberty St
Farmington, MO 63640-1921
Phone (573) 760-8002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124635 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPR Anesthesia, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Aim Anesthesia LLC | Current | Accepting new patients | |
| Dreamland Uap Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Midwest Anesthesia Providers S.C | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Acuity Anesthesiology LLC | Current | Accepting new patients | |
| Commonwealth Anesthesia Associates, P.C. | Past | Accepting new patients |
Locations
865406 Reliable Pkwy
Chicago, IL 60686
3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272
400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201
100 Village Sq
Hazelwood, MO 63042
Phone (314) 355-4010
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Festus, MO
- NPI 1134353030
-
- Anesthesiology Physician
- Bridgetown, MO
- NPI 1245685601
-
- Certified Registered Nurse Anesthetist
- Hazelwood, MO
- NPI 1073919494
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1295189082
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Aurora, CO
- NPI 1326436353
MO, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
-
- Critical Access Hospital
- Ste Genevieve, MO
- NPI 1073587655
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1548275308
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1952568313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17873 SUZANNE RIDGE DR",
"city": "WILDWOOD",
"state": "MO",
"postal_code": "630381474",
"telephone_number": "636-821-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-6064"
}
],
"practiceLocations": [
{
"address_1": "1101 W Liberty St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "MO",
"postal_code": "636401921",
"country_code": "US",
"telephone_number": "573-760-8002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOPMANS",
"first_name": "CORRY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "124635",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1101 W Liberty St",
"city": "Farmington",
"state": "MO",
"country_code": "US",
"postal_code": "636401921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.