MRS. STACY COOPER PA-C
NPI 1518157544
Physician Assistant - Medical in Blackfoot, ID

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since July 26, 2007PECOS EnrolledAccepts Medicare Assignment

98 POPLAR ST, BLACKFOOT, ID 83221(208) 785-4100 Get Directions Write a Review

NPPES record last updated: May 1, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Stacy Cooper Pa-c NPPES

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

MRS. STACY COOPER PA-C (NPI 1518157544) is an individual medical provider in Blackfoot, Idaho, licensed in Idaho (PA648) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1518157544

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. STACY COOPERCredential: PA-C

Location Address98 POPLAR STBlackfoot, ID 83221-1758

Mailing Address98 Poplar StBlackfoot, ID 83221-1758 · (208) 785-4100

Phone(208) 785-4100

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 26, 2007

Last NPPES UpdateMay 1, 2009

✔ NPI 1518157544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in ID · PA648

98 POPLAR ST, Blackfoot, ID 83221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Mrs. Stacy Cooper Pa-c 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 ID8224188347

PECOS Enrollment IDI20090611000468

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 2

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, 20-29 minutes 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.

53 services43 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

24 services21 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

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.

DR. WADE H FLOWERS JR. PHARM.D., BCPS, CGP

Pharmacist (Pharmacotherapy)