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SEAN PATRICK COONEY CRNA
NPI 1457096380
Nurse Anesthetist, Certified Registered in Edgewood, KY

Active since May 04, 2022PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1 MEDICAL CENTER DRIVE, EDGEWOOD, KY 41017(859) 301-2000 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sean Patrick Cooney Crna NPPES

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

SEAN PATRICK COONEY CRNA (NPI 1457096380) is an individual nurse anesthetist, certified registered in Edgewood, Kentucky, licensed in South Carolina (.251229R) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Medical University Of South Carolina College Of Medicine (2022).

NPPES Registry Identity

NPI1457096380
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSEAN PATRICK COONEYCredential: CRNA
Location Address1 MEDICAL CENTER DRIVEEdgewood, KY 41017
Mailing Address18 Sires St Apt ACharleston, SC 29403-5984 · (859) 905-9351
Phone(859) 301-2000
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2022
Enumeration DateMay 4, 2022
NPPES CertifiedMarch 10, 2022
✔ NPI 1457096380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in SC · .251229R
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1 MEDICAL CENTER DRIVE, Edgewood, KY 41017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sean Patrick Cooney Crna 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 ID4587045711
PECOS Enrollment IDI20220720000756
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sean Cooney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tsga Anesthesia PLLC
1.0 mi
Nurse Anesthetist, Certified Registered
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
  • Reassigned Medicare billing, Kentucky enrollment
  • 29 clinicians in this Medicare group
NPI 1043616592 (859) 655-4459
Anesthesia Group Practice, Inc
21 mi
Anesthesiology
10500 MONTGOMERY RD
Montgomery, OH 45242
  • Reassigned Medicare billing, Kentucky enrollment
  • 211 clinicians in this Medicare group
NPI 1417951948 (513) 817-1150

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 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services15 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
14 services14 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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 Sean Cooney's NPI number?

The NPI number for Sean Cooney is 1457096380. It was assigned to this individual provider in the NPPES registry on May 4, 2022.

Where is Sean Cooney located?

Sean Cooney practices at 1 Medical Center Drive, Edgewood, KY 41017. The listed phone number is (859) 301-2000.

What is Sean Cooney's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Sean Cooney enrolled in Medicare?

Yes. Sean Cooney 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 Sean Cooney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Cooney reassigns Medicare benefits to 2 organizations: Tsga Anesthesia PLLC (Crestview Hills, KY) and Anesthesia Group Practice, Inc (Montgomery, OH). 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 Sean Cooney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Cooney accept?

Health plans from CareSource list Sean Cooney 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.

Is Sean Cooney affiliated with any hospitals?

According to CMS data, Sean Cooney is affiliated with St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Sean Cooney was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.