Individual provider Active NPI

Ellen McLaurin Cooper, FNP

  • Family Medicine Physician
  • Fayetteville, NC
National Provider Identifier
1982681201
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201472 Issued in NC
Practice address
2313 Murchison Rd
Fayetteville, NC 28301-3517
Phone
(919) 544-6318
Fax
(919) 544-6336
NPI assigned
Dec 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201472 NC Primary

Addresses

Primary practice location

2313 Murchison Rd
Fayetteville, NC 28301-3517

Mailing address

3613A Raeford Rd
Fayetteville, NC 28304-2113
Phone (910) 483-1493

Other identifiers 2

IdentifierTypeStateIssuer
7004084MedicaidNC
201472OtherNCSTATE LICENSE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080214000620 NC Practitioner - Nurse Practitioner 6204919145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2313 Murchison Rd
Fayetteville, NC 28301-3517
Phone 91048366947057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stedman - Wade Health Services, Inc Family Medicine CurrentSince Apr 8, 2024 Accepting new patients
Stedman-Wade Health Services, Inc. Current Accepting new patients
Stedman-Wade Health Services, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Buckhead Express Clinic PC Family Medicine Past Accepting new patients
Fayetteville Medical Clinic, PC Past Accepting new patients

Locations

2409 Murchison Rd
Ste B
Fayetteville, NC 28301
Phone (910) 488-4525

2313 Murchison Rd
Fayetteville, NC 28301
Phone (910) 483-6694

Interoperability endpoints

  • Direct secure messaging: ellen.mclaurin.1@7912.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7912/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1982681201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613A RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042113",
            "telephone_number": "910-483-1493",
            "fax_number": "910-920-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 MURCHISON RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013517",
            "telephone_number": "919-544-6318",
            "fax_number": "919-544-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ELLEN",
        "middle_name": "MCLAURIN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004084",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "201472",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.