Charles Derick Cooper, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1112062 Issued in TX

Practice address

126 W Main St
Gun Barrel City, TX 75156-5403

Phone

(903) 887-1092

NPI assigned

Mar 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DCS Medical PA 155 clinicians

Century Integrated Partners, Inc 330 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

99.43 of 100Reported as group

Quality

93.73

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711

  TX

  Medicare reassignment Care Compare group NPD
• DCS Medical PA

  • Urgent Care Clinic/Center
  • Princeton, TX
  • NPI 1285082768

  TX

  Medicare reassignment Care Compare group NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019

  Nurse Practitioner, TX

  Medicare reassignment NPD
• DCS Medical PA

  • Rural Health Clinic/Center
  • Bonham, TX
  • NPI 1063138741
  Care Compare group NPD
• DCS Medical PA

  • Rural Health Clinic/Center
  • Marshall, TX
  • NPI 1003642208
  Care Compare group
• DCS Medical PA

  • Rural Health Clinic/Center
  • Corsicana, TX
  • NPI 1124762646
  Care Compare group
• DCS Medical PA

  • Rural Health Clinic/Center
  • Athens, TX
  • NPI 1215671748
  Care Compare group
• DCS Medical PA

  • Rural Health Clinic/Center
  • Gatesville, TX
  • NPI 1265396345
  Care Compare group
• DCS Medical PA

  • Rural Health Clinic/Center
  • Decatur, TX
  • NPI 1518793728
  Care Compare group
• DCS Medical PA

  • Rural Health Clinic/Center
  • Hearne, TX
  • NPI 1598583361
  Care Compare group
• DCS Medical PA

  • Rural Health Clinic/Center
  • Copperas Cove, TX
  • NPI 1619703824
  Care Compare group
• DCS Medical PA

  • Rural Health Clinic/Center
  • Quinlan, TX
  • NPI 1659194058
  Care Compare group

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1124728779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 VZ COUNTY ROAD 2112",
            "city": "WILLS POINT",
            "state": "TX",
            "postal_code": "751697786",
            "telephone_number": "903-594-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751565403",
            "telephone_number": "903-887-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CHARLES",
        "middle_name": "DERICK",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1112062",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1112062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar Creek Wellness Group
• Shawntel Chamberland, PHYSICAL THERAPIST A
• Charles L. Heaton, MD, PA
• Children'S Dental Depot PA
• Wandy Connolly, DMD
• Leslie Crow
• Douglas W Curran, MD
• CVS Pharmacy Inc
• Dallas Eye Care Associates PLLC
• Mayela Delgado Angeles, PA-C

• All providers in Gun Barrel City, TX
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.