Active NPI
Charles Cooper, DNP CRNA
- Certified Registered Nurse Anesthetist
- Valparaiso, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28191129A
- Practice address
- 85 E US Highway 6
Valparaiso, IN 46383-8947 - Phone
- (219) 263-4600
- NPI assigned
- Jan 8, 2016
- Last updated
- Jan 8, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28191129A | IN | Primary |
Addresses
Primary practice location
85 E US Highway 6
Valparaiso, IN 46383-8947
Mailing address
85 E US Highway 6
Valparaiso, IN 46383-8947
Phone (219) 263-4600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Rush Medical College of Rush University, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3500 Franciscan Way
Franciscian Health Michigan City
Michigan City, IN 46360-0021
Phone (219) 877-8511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28191129A | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Porter County Anesthesia Associates PC | Current | Accepting new patients | |
| La Porte County Anesthesia Associates LLC | Current | Accepting new patients | |
| Stat Anesthesia Specialists LTD | Current | Accepting new patients | |
| Stat Anesthesia Specialists, LTD. | Current | Accepting new patients |
Locations
18221 Torrence Ave
Ste 1B
Lansing, IL 60438
Phone (708) 474-7600
3111 Village Pt
Chesterton, IN 46304
Phone (219) 983-1401
900 I St
Ste 1
Laporte, IN 46350
Phone (219) 324-1670
301 W Homer St
Michigan City, IN 46360
Phone (219) 877-1033
301 W Homer St
#M
Michigan City, IN 46360
Phone (219) 877-1033
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
8865 W 400 N
Ste 100
Michigan City, IN 46360
Phone (219) 877-2222
3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000
10220 Wicker Ave
Ste 3
Saint John, IN 46373
Phone (219) 515-6943
1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
Interoperability endpoints
- ccooper432576@direct.franciscanalliance.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Michigan City, IN
- NPI 1477553634
-
- Anesthesiology Physician
- Valparaiso, IN
- NPI 1215974936
-
- Anesthesiology Physician
- Saint John, IN
- NPI 1699724781
-
- Anesthesiology Physician
- Bremen, IN
- NPI 1992754089
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452211200000",
"number": "1336505148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 E US HIGHWAY 6",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463838947",
"telephone_number": "219-263-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 E US HIGHWAY 6",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463838947",
"telephone_number": "219-263-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DNP CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-01-08",
"last_updated": "2016-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28191129A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.