Pamela Lynn Cooper, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704209177 Issued in MI

Practice address

12734 Kenwood LN
Suite 84
Fort Myers, FL 33907-5666

Phone

(866) 936-5250

NPI assigned

Aug 6, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Pamela Lynn Barker Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Wayne State University School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MCR Health Inc 132 clinicians

Health Care Center for the Homeless Inc 51 clinicians

Ace Behavioral Health LLC 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11352/brand/2/csg/21/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/DIHGDD/Endpoint/DIHGDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ace Behavioral Health LLC

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1841094885

  FL, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Health Care Center for the Homeless Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1235213216

  FL

  Medicare reassignment Care Compare group
• Citrus County Rural Health Inc

  • Federally Qualified Health Center (FQHC)
  • Crystal River, FL
  • NPI 1740931831

  FL

  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000

  FL

  Medicare reassignment NPD
• Coastal Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fernandina Beach, FL
  • NPI 1851131874

  FL

  Medicare reassignment
• Health Care Center for the Homeless Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1588109185
  Care Compare group
• Health Care Center for the Homeless Inc

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1881915825
  Care Compare group
• Health Care Center for the Homeless, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kissimmee, FL
  • NPI 1346663325
  Care Compare group
• Health Care Center for the Homeless, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1952869968
  Care Compare group
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1003072349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "SUITE 84",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075666",
            "telephone_number": "866-936-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12734 KENWOOD LN",
            "address_2": "SUITE 84",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339075666",
            "telephone_number": "866-936-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "PAMELA",
        "middle_name": "LYNN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704209177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "BARKER",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dedra Dawn Coop, ARNP
• April Cooper
• Carolyn Cooper, COTA
• Gerard Cooper, PA
• Michelle Cooper
• David R Coovert, HAS
• Amanda Cope, LMHC
• Diane G Cope, APRN
• Christine Copeland
• Anthony Copley, PT, DPT

• All providers in Fort Myers, FL
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.