CARISSA BETH COOPER FNP
NPI 1396982914
Nurse Practitioner - Family in Crossville, TN

Q: 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.

Q: What is Carissa Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: 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 20 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.

Active since January 20, 2009PECOS EnrolledAccepts Medicare Assignment

100 LANTANA RD STE 202, CROSSVILLE, TN 38555(931) 484-5141(865) 374-2074 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 26, 2019, Jul 15, 2019 (2 updates tracked since 2019).

On this page

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, is affiliated with Roane Medical Center, and maintains a secondary practice location in Kingston.

NPPES Registry Identity

NPI1396982914

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCARISSA BETH COOPERCredential: FNP

Location Address100 LANTANA RD STE 202Crossville, TN 38555

Mailing Address100 Lantana Rd Ste 202Crossville, TN 38555-1903 · (931) 484-5141 · Fax (865) 374-2074

Phone(931) 484-5141

Fax(865) 374-2074

Sole ProprietorNo

Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2018

Enumeration DateJanuary 20, 2009

Last NPPES UpdateNovember 26, 20242 updates tracked since enumeration

NPPES CertifiedNovember 26, 2024

✔ NPI 1396982914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 18311

Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License CNS-00214 (NM), 734121 (TX)

100 LANTANA RD STE 202, Crossville, TN 38555

Open in Google Maps ↗

Other Names 1

Former Name (1)Carissa Beth Maynard

Secondary Practice Location 1

Location 1933 W Race StKingston, TN 37763-2123 · Phone (865) 882-0105 · Fax (833) 908-2083

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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 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.

PECOS PAC ID941366603

PECOS Enrollment IDI20190905002358

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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

109 services77 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

51 services49 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services30 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Roane Medical Center

Acute Care Hospitals · Harriman, TN

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440031

Location8045 Roane Medical Center DriveHarriman, TN 37748 · Roane County

Emergency services

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.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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.

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

1 supplier17 claims221 services$19.35 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

1 supplier17 claims510 services$2.28 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers32 claims56 services$6.24 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers12 claims12 services$1.14 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers11 claims11 services$317.60 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

3 suppliers12 claims800 services$4.91 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMBER MARIE LEVI D.O.

Family Medicine