MRS. STACY COOPER (PA-C) – Medical Physician Assistant, NPI 1518157544

MRS. STACY COOPER (PA-C) is a healthcare provider. based in Blackfoot, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA648 (ID). The NPI Number for MRS. STACY COOPER (PA-C) is 1518157544

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. STACY COOPER (PA-C)
NPI
1518157544
Phone
(208) 785-4100
Address
98 POPLAR ST
Enumeration Date
26 July 2007
Last Update Date
1 May 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
8224188347
Group Practice PAC ID
4981878402
Professional Enrollment ID
I20090611000468
Address ID
ID836426363ME520XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

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Provider Addresses for MRS. STACY COOPER (PA-C)

  • Bingham Memorial Hospital, 98, Poplar Street, Blackfoot, Bingham County, Idaho, 83221, United States

    BLACKFOOT, ID 832211758

    Phone: (208) 785-4100

    Mailing address matches the actual address.

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: 2009-06-11

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
I20090611000468IPhysician AssistantIDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4739$0
99214Established patient office or other outpatient visit, 30-39 minutes3126$0
View full utilization report →

Insurance plans in this area (ZIP 83221)

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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: 4981878402View full group profile
NameSpecialtyState
Family PracticeME
Internal MedicineID
Family PracticeID
-TX
-OR
Hand SurgeryID
-ID
Nurse PractitionerID
Physician AssistantID
General SurgeryID

Reviews

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Frequently asked questions

What is MRS. STACY COOPER (PA-C)'s NPI number?
MRS. STACY COOPER (PA-C)'s NPI is 1518157544 — the number used across U.S. healthcare to identify this provider.
Would MRS. STACY COOPER (PA-C) appear as active to a payer?
You can treat MRS. STACY COOPER (PA-C) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. STACY COOPER (PA-C)?
At a glance, MRS. STACY COOPER (PA-C) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. STACY COOPER (PA-C)?
Directory geography for MRS. STACY COOPER (PA-C) centers on Blackfoot, Idaho.
Can I trust this NPI listing for MRS. STACY COOPER (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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