Active NPI
Nancy J Cooper, APRN-CNP
- Family Nurse Practitioner
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0045211
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200006240A | Medicaid | OK |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0045211 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | 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
- ncooper371524@direct-ehr-ssmhc.com
- nancy.cooper@123590084001796.direct.elationemr.com
- 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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- Family Medicine Physician
- Enid, OK
- NPI 1467454991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.