Individual provider Active NPI

Kelsey Cooper, FNP

  • Family Nurse Practitioner
  • Woodstock, VA
National Provider Identifier
1992155857
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0616877 Issued in VA
Practice address
1066 Hisey Ave Ste 104
Woodstock, VA 22664-2088
Phone
(540) 481-4393
NPI assigned
Jun 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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 0024173750 VA
Family Nurse Practitioner 363LF0000X F0616877 VA Primary

Addresses

Primary practice location

1066 Hisey Ave Ste 104
Woodstock, VA 22664-2088

Mailing address

1066 Hisey Ave Ste 104
Woodstock, VA 22664-2088
Phone (540) 534-9955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20161108001728 VA Practitioner - Nurse Practitioner 4981983343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1031 S Main St
Woodstock, VA 22664-1063
Phone (540) 534-9955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0616877VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Heart Medical PLLC Family CurrentSince Feb 14, 2022 Accepting new patients
Fauquier Physician Practices LLC CurrentSince Aug 13, 2016 Accepting new patients

Locations

550 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5940

419 Holiday Ct
Ste 100
Warrenton, VA 20186
Phone (540) 347-4200

1066 Hisey Ave
Ste 104
Woodstock, VA 22664
Phone (540) 459-1271

1031 S Main St
Woodstock, VA 22664
Phone (540) 534-9955

1066 Hisey Ave
Ste 101
Woodstock, VA 22664

Interoperability endpoints

  • Direct secure messaging: kelsey.cooper.1@25387.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25387/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1992155857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 HISEY AVE STE 104",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226642088",
            "telephone_number": "540-534-9955",
            "fax_number": "833-719-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 HISEY AVE STE 104",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226642088",
            "telephone_number": "540-481-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KELSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173750",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "F0616877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

Verify at the official NPI Registry.