STACIE COOPER (CRNP) – Nurse Practitioner, NPI 1083162705

STACIE COOPER (CRNP) is a healthcare provider. based in Warrior, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1106944 (AL). The NPI Number for STACIE COOPER (CRNP) is 1083162705

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
STACIE COOPER (CRNP)
NPI
1083162705
Phone
(205) 647-1819
Address
143 WHITE OAK TRL
Enumeration Date
12 September 2016
Last Update Date
12 September 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2055436668
Graduation Year
2016 (10 years ago)
PAC ID
4981991445
Group Practice PAC ID
5193945095
Professional Enrollment ID
I20160927001359
Address ID
AL351805736WA143XXTRLX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for STACIE COOPER (CRNP)

  • 143 WHITE OAK TRL

    SUITE 2

    WARRIOR, AL 351805736

    Phone: (205) 647-1819

    Type: Location

  • 5187 STONEHAVEN DR

    BIRMINGHAM, AL 352443454

    Phone: (205) 283-1033

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160927001359INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg14017$0
J0696Injection, ceftriaxone sodium, per 250 mg9221$0
96372Injection of drug or substance under skin or into muscle6539$0
87804Detection test by immunoassay with direct visual observation for influenza virus6029$0
99214Established patient office or other outpatient visit, 30-39 minutes5950$0
View full utilization report →

Insurance plans in this area (ZIP 35180)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193945095View full group profile
NameSpecialtyState
Nurse PractitionerAL

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Frequently asked questions

What number should I use to identify STACIE COOPER (CRNP) for billing?
Administrative and clinical systems typically use NPI 1083162705 for STACIE COOPER (CRNP).
Is STACIE COOPER (CRNP)'s NPI status active today?
Active status means STACIE COOPER (CRNP)'s NPI record is not deactivated in the public file.
What services align with STACIE COOPER (CRNP)'s listing?
STACIE COOPER (CRNP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STACIE COOPER (CRNP)?
STACIE COOPER (CRNP) is associated with Warrior, Alabama in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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