Individual provider Active NPI

Nancy J Cooper, APRN-CNP

  • Family Nurse Practitioner
  • Broken Arrow, OK
National Provider Identifier
1316946361
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R0045211 Issued in OK
Practice address
1801 E Kenosha St
Broken Arrow, OK 74012-2098
Phone
(918) 449-4150
Fax
(918) 449-4107
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R0045211 OK Primary

Addresses

Primary practice location

1801 E Kenosha St
Broken Arrow, OK 74012-2098

Mailing address

822 W Randolph Ave
Enid, OK 73701-3834
Phone (580) 599-0272

Other practice location 1

102 S Main St
Sand Springs, OK 74063-6509
Phone (918) 246-5750

Other practice location 2

2950 S Elm Pl Ste 120
Broken Arrow, OK 74012-7816
Phone (918) 451-5191

Other practice location 3

10506 S Memorial Dr
Tulsa, OK 74133-6914
Phone (918) 943-1050

Other practice location 4

6160 S Yale Ave
Tulsa, OK 74136-1930
Phone (918) 495-2600

Other practice location 5

7858 S Olympia Ave
Tulsa, OK 74132-1857
Phone (918) 986-9250

Other identifiers 1

IdentifierTypeStateIssuer
200006240AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040501000443 OK Practitioner - Nurse Practitioner 0648268441 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0045211OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Jun 1, 2020 Accepting new patients
Saints Medical Group, LLC CurrentSince Jun 1, 2020 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince May 7, 2018 Accepting new patients
Integris Rural Health Inc Past Accepting new patients

Locations

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

4505 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 749-7099

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118
Phone (405) 272-5555

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

Interoperability endpoints

  • Direct secure messaging: ncooper371524@direct-ehr-ssmhc.com
  • Direct secure messaging: nancy.cooper@123590084001796.direct.elationemr.com
  • Direct secure messaging: nancy.cooper@292210469699588.direct.elationemr.com

Organizations & group practices 4

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1316946361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W RANDOLPH AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013834",
            "telephone_number": "580-599-0272",
            "fax_number": "580-603-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E KENOSHA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122098",
            "telephone_number": "918-449-4150",
            "fax_number": "918-449-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sand Springs",
            "state": "OK",
            "postal_code": "740636509",
            "country_code": "US",
            "telephone_number": "918-246-5750",
            "fax_number": "918-246-5714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 S Elm Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740127816",
            "country_code": "US",
            "telephone_number": "918-451-5191",
            "fax_number": "918-451-5272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10506 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741336914",
            "country_code": "US",
            "telephone_number": "918-943-1050",
            "fax_number": "918-369-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6160 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361930",
            "country_code": "US",
            "telephone_number": "918-495-2600",
            "fax_number": "918-497-3007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7858 S Olympia Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741321857",
            "country_code": "US",
            "telephone_number": "918-986-9250",
            "fax_number": "918-986-9205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "R0045211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.