STACEY RENE COLE NNP
NPI 1083981021
Nurse Practitioner in Shreveport, LA

Q: What is Stacey Cole's NPI number?

The NPI number for Stacey Cole is 1083981021. It was assigned to this individual provider in the NPPES registry on November 18, 2011.

Q: What is Stacey Cole's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Cole was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 18, 2011PECOS Enrolled

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2024, Dec 28, 2022, Nov 2, 2022 and 1 more (4 updates tracked since 2016).

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About Stacey Rene Cole Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY RENE COLE NNP (NPI 1083981021) is an individual nurse practitioner in Shreveport, Louisiana, licensed in Louisiana (212544) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1083981021

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSTACEY RENE COLECredential: NNP

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address1512 W Kirby PlShreveport, LA 71103-3822 · (318) 626-0287

Phone(318) 626-0000

Sole ProprietorNo

Enumeration DateNovember 18, 2011

Last NPPES UpdateJuly 15, 20244 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1083981021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in LA · 212544✔ Licensed in MI · 4704396622✔ Licensed in TX · AP121002

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License AP121002 (TX), 212544 (LA)

1541 KINGS HWY, Shreveport, LA 71103

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Secondary Practice Locations 3

Location 15200 Harry Hines BlvdDallas, TX 75235-7709 · Phone (214) 590-6571

Location 21500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000

Location 3800 E Dawson StTyler, TX 75701-2036 · Phone (903) 606-1800

Other Identifiers 1

Medicaid323879203TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Rene Cole Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)