Kimberly Nicole Cooper, FNP-BC - Medicare Nurse Practitioner in Hartsville, TN

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Kimberly Nicole Cooper, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Hartsville, Tennessee. Her current practice location is 140 Macon Way, Hartsville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (615) 808-0400.

Kimberly Nicole Cooper is licensed to practice in Tennessee (license number 34033) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710671581.

Contact Information

Kimberly Nicole Cooper, FNP-BC
140 Macon Way,
Hartsville, TN 37074-2080
(615) 808-0400
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Nicole Cooper
GenderFemale
SpecialityNurse Practitioner - Family
Location140 Macon Way, Hartsville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710671581
  • Provider Enumeration Date: 06/05/2023
  • Last Update Date: 06/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426401985
  • Enrollment ID: I20240131003227

Medical Identifiers

Medical identifiers for Kimberly Nicole Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710671581NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 34033 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Nicole Cooper allows following entities to bill medicare on her behalf.
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134452865
PECOS PAC ID: 5395881841
Enrollment ID: O20091014000112

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Nicole Cooper is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Nicole Cooper, FNP-BC
926 Nashs Nook,
Columbia, TN 38401-0004

Ph: (931) 698-6315		Kimberly Nicole Cooper, FNP-BC
140 Macon Way,
Hartsville, TN 37074-2080

Ph: (615) 808-0400

Reviews and Comments


Nurse Practitioner Nurses in Hartsville, TN

James D Carey, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 220 Broadway, Hartsville, TN 37074
Phone: 615-374-2101    Fax: 615-374-2609
Mrs. Nelly O Wolugboms, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Damascus St, Hartsville, TN 37074
Phone: 615-227-3000    Fax: 615-515-5773
Carrie Beth Cropper, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 140 Macon Way, Hartsville, TN 37074
Phone: 615-808-0400    
Mrs. Amanda S Livingston, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 118 Mcmurry Blvd E, Hartsville, TN 37074
Phone: 615-680-3331    Fax: 615-680-3332
Shannon Michelle Foreman, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1095 Belcher Ln, Hartsville, TN 37074
Phone: 317-607-4929    
Miss Kai-l Cobb, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 140 Macon Way, Hartsville, TN 37074
Phone: 615-808-0511    
Jacob Michael Stephens, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 140 Macon Way, Hartsville, TN 37074
Phone: 615-808-0400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.