CARISSA BETH COOPER FNP
NPI 1396982914
Nurse Practitioner - Family in Crossville, TN
About Carissa Beth Cooper Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARISSA BETH COOPER FNP (NPI 1396982914) is an individual family provider in Crossville, Tennessee, licensed in Tennessee (18311) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kingston, and is a graduate of East Tennessee State University Quillen College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carissa Beth Cooper Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Carissa Cooper reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockwood, TN 37854
- Reassigned Medicare billing, Tennessee enrollment
- 1,003 clinicians in this Medicare group
Knoxville, TN 37932
- Reassigned Medicare billing, Tennessee enrollment
- 504 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38555 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carissa Cooper's NPI number?
The NPI number for Carissa Cooper is 1396982914. It was assigned to this individual provider in the NPPES registry on January 20, 2009. The provider is also known as Carissa Beth Maynard.
Where is Carissa Cooper located?
Carissa Cooper practices at 100 Lantana Rd Ste 202, Crossville, TN 38555. The listed phone number is (931) 484-5141.
What is Carissa Cooper's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carissa Cooper enrolled in Medicare?
Yes. Carissa Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Carissa Cooper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carissa Cooper reassigns Medicare benefits to 2 organizations: Summit Medical Group, PLLC (Rockwood, TN) and Covenant Medical Group, Inc. (Knoxville, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carissa Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carissa Cooper accept?
Health plans from BlueCross BlueShield of Tennessee list Carissa Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carissa Cooper was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Carissa Beth Cooper, FNP · NPI 1396982914
Family physician in Crossville, Tennessee. Individual provider, active in the CMS NPPES registry since January 20, 2009.
## Identity
- **NPI:** 1396982914 (Entity type: Individual)
- **Enumerated:** January 20, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 18311 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 LANTANA RD STE 202, Crossville, TN 38555
- **Phone:** (931) 484-5141 · **Fax:** (865) 374-2074
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Summit Medical Group, PLLC (NPI 1568772754, Rockwood, TN); Covenant Medical Group, Inc. (NPI 1457302010, Knoxville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** East Tennessee State University Quillen College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** November 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1396982914) · Data from the CMS NPPES public registry.