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

Q: What is Stacy Cooper's NPI number?

The NPI number for Stacy Cooper is 1518157544. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Q: What is Stacy Cooper's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Cooper was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 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: August 16, 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 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.

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.

61 services48 patients

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.

25 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services17 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.

BEVERLY HANSON PA

Physician Assistant (Surgical)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 782-3993

DAN EARL ROBINSON D.P.M.

Podiatrist (Foot & Ankle Surgery)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 690-0394

AMANDA WRAY RPH

Pharmacist

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 782-2990

SAMANTHA HRABIK FNP-C

Nurse Practitioner (Family)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 251-2408

DR. JASON CHRISTOPHER BELL D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-5801

ABBY JAN WILSON FNP-BC, RD, CDCES

Nurse Practitioner (Family)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-4100

MS. SUZANNE GODFREY LCPC, NCC

Counselor

98 POPLAR ST, THIRD FLOOR
BLACKFOOT, ID 83221

Bingham County (208) 785-3800

SCOTT RYAN MANGUM PA-C

Physician Assistant (Medical)

98 POPLAR ST
BLACKFOOT, ID 83221

Bingham County (208) 785-4100

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 Stacy Cooper's NPI number?

The NPI number for Stacy Cooper is 1518157544. It was assigned to this individual provider in the NPPES registry on July 26, 2007.

Where is Stacy Cooper located?

Stacy Cooper practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-4100.

What is Stacy Cooper's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacy Cooper enrolled in Medicare?

Yes. Stacy 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.

What insurance does Stacy Cooper accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Stacy 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.

Is Stacy Cooper affiliated with any hospitals?

According to CMS data, Stacy Cooper is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Stacy Cooper was last updated on May 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.