Individual provider Active NPI

Amy Marie Cooper, APRN

  • Family Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1962882282
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3009391 Issued in KY
Practice address
73 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone
(812) 288-8360
Fax
(812) 288-8375
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009391 KY Primary
Nurse Practitioner 363L00000X 71005460A IN

Addresses

Primary practice location

73 Quartermaster CT
Jeffersonville, IN 47130-3623

Mailing address

73 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (812) 288-8360

Other identifiers 3

IdentifierTypeStateIssuer
000001057810OtherANTHEM
200153120MedicaidIN
7100373050MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150731016838 KY Practitioner - Nurse Practitioner 8426362633 Reassigns benefits to 2 organizations
I20161121000428 IN Practitioner - Nurse Practitioner 8426362633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology Associates of Kentuckiana PSCGroup PAC ID 4183522618, 38 clinicians

Practice addresses (Care Compare)

1919 State St
Suite 103
New Albany, IN 47150-6800
Phone (812) 945-4200

6400 Dutchmans Pkwy
Suite 250
Louisville, KY 40205-3354
Phone (502) 587-9660

Hospital & facility affiliations

  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044
  • Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334
  • Norton Clark Hospital Hospital, Jeffersonville, IN, CCN 150009
  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088
  • Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2015 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jul 1, 2015 Accepting new patients
Nephrology Associates of Kentuckiana PSC CurrentSince Nov 1, 2018 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

1919 State St
Ste 444
New Albany, IN 47150
Phone (502) 368-9590

1919 State St
Ste 103
New Albany, IN 47150
Phone (812) 801-0800

911 N Shelby St
Salem, IN 47167
Phone (812) 883-5881

1473 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-0844

914 N Dixie Ave
Ste 303
Elizabethtown, KY 42701
Phone (270) 900-0871

608 Chamberlin Ave
Frankfort, KY 40601
Phone (502) 607-0731

325 W Walnut St
Ste 300
Lebanon, KY 40033
Phone (270) 692-0735

1451 Harrodsburg Rd
Ste D304
Lexington, KY 40504
Phone (859) 317-1673

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

9880 Angies Way
Ste 130
Louisville, KY 40241
Phone (502) 365-2655

2400 Eastpoint Pkwy
Ste 560
Louisville, KY 40223
Phone (502) 210-6610

3 Audubon Plaza Dr
Ste 330
Louisville, KY 40217
Phone (502) 583-1697

3526 Dutchmans Ln
Louisville, KY 40205
Phone (502) 452-6331

220 Abraham Flexner Way
Ste 1100
Louisville, KY 40202
Phone (502) 584-3377

1900 Bluegrass Ave
Ste 300
Louisville, KY 40215
Phone (502) 361-1222

6400 Dutchmans Pkwy
Ste 250
Louisville, KY 40205
Phone 5025879660239

210 E Gray St
Ste 700
Louisville, KY 40202
Phone (502) 629-5400

950 Main St
Ste A
Munfordville, KY 42765

1036 Center Dr
Ste A
Richmond, KY 40475
Phone (859) 353-4245

Interoperability endpoints

  • Direct secure messaging: acooper31801@direct.acumenmd.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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1962882282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 QUARTERMASTER CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303623",
            "telephone_number": "812-288-8360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 QUARTERMASTER CT",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303623",
            "telephone_number": "812-288-8360",
            "fax_number": "812-288-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009391",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005460A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001057810",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200153120",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100373050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.