Individual provider Active NPI

Kimberley Anne Cooper, FNP-C

  • Nurse Practitioner
  • Dover, DE
National Provider Identifier
1104701481
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0013323 Issued in DE
Practice address
200 Banning St Ste 320
Dover, DE 19904-3488
Phone
(302) 674-0223
NPI assigned
Aug 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0013323 DE Primary

Addresses

Primary practice location

200 Banning St Ste 320
Dover, DE 19904-3488

Mailing address

200 Banning St Ste 320
Dover, DE 19904-3488
Phone (302) 674-0223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20260306002641 DE Practitioner - Nurse Practitioner 1951883040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dedicated to Women OB-GYN, P.a.Group PAC ID 0446290456, 15 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 320
Dover, DE 19904-3488
Phone (302) 674-0223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG-0013323DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated to Women OB-GYN, P.a. CurrentSince Jan 11, 2026 Accepting new patients

Locations

200 Banning St
Ste 320
Dover, DE 19904
Phone (302) 674-0223

118 Sandhill Dr
Ste 203
Middletown, DE 19709
Phone (302) 477-1706

806 Seabury Ave
Milford, DE 19963
Phone (301) 424-7522

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1104701481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 320",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043488",
            "telephone_number": "302-674-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 320",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043488",
            "telephone_number": "302-674-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KIMBERLEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0013323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.