Jessica Cooper, FNP
Individual provider Active NPI Family Nurse Practitioner · Plymouth, IN
NPI 1013384262 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1013384262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28192442A (IN)
- Practice address
- 1915 Lake Ave
Plymouth, IN 46563-9366 - Phone
- (574) 523-3160
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America LLC
Practice addresses (Care Compare)
1915 Lake Ave
Plymouth, IN 46563-9366
Phone (574) 948-4000
Hospital & facility affiliations
- Saint Joseph Regional Medical Center - Plymouth
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160108002003 | IN | Practitioner - Nurse Practitioner | 8729380605 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28192442A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current |
Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Elite Emergency Physicians Inc | Current |
Accepting new patients | |
| Concord Medical Group of Kentucky PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Cep America LLC | Current |
Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Current |
Accepting new patients | |
| Cep America LLC | Current |
Accepting new patients | |
| Concord Company of Tennessee PLLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621
1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181
1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Interoperability endpoints
- jcooper1158751@direct.trinity-health.org
- jcooper675757@direct.parkviewexchange.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28192442A | IN | Yes |
| Nurse Practitioner | 363L00000X | 71005950A | IN |
Addresses
Primary practice location
1915 Lake Ave
Plymouth, IN 46563-9366
Mailing address
PO Box 1241
South Bend, IN 46624-1241
Phone (855) 691-9888
Other practice location 1
2101 DuBois Dr
Warsaw, IN 46580-3210
Phone (574) 267-3200
Other providers in Plymouth, IN
- Heather Marie Clemons
- Jamie Cole
- Comcare Transit, Inc.
- Madelain Contreras
- Debra Sue Cook
- Lisa Cooper
- William T. Correll
- Kurt Corsbie
- Oriana Corsbie
- Counseling Solutions
All providers in Plymouth, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.