Kevin Maynard Cooper, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704267613 Issued in MI

Practice address

555 Linn St
Allegan, MI 49010-1524

Phone

(269) 686-5800

NPI assigned

Sep 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Borgess Allegan HospitalGroup PAC ID 5092750356, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beacon Allegan Hospital, Allegan, MI, CCN 231328

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kevin.cooper.p1@direct.alleganfamilyhealth.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Ascension Borgess Allegan Hospital

  dba Ascension Borgess Allegan Hospital Outpatient Clinic

  • Multi-Specialty Clinic/Center
  • Allegan, MI
  • NPI 1144531252
  Medicare reassignment Care Compare group NPD
• Ascension Borgess Allegan Hospital

  • Critical Access Hospital
  • Allegan, MI
  • NPI 1295803377
  Medicare reassignment
• Ascension Borgess Allegan Hospital

  dba Allegan Medical Clinic

  • Rural Health Clinic/Center
  • Allegan, MI
  • NPI 1265910343
  NPD
• Ascension Borgess Allegan Hospital

  • Hospitalist Physician
  • Allegan, MI
  • NPI 1992668925
  NPD
• Ascension Borgess Allegan Hospital

  • Psychiatry Physician
  • Allegan, MI
  • NPI 1871518019
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Borgess Allegan Hospital

  • Critical Access Hospital
  • Allegan, MI
  • NPI 1295803377
  Care Compare affiliation

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1396394417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 122ND AVE",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490108508",
            "telephone_number": "231-425-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 LINN ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490101524",
            "telephone_number": "269-686-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KEVIN",
        "middle_name": "MAYNARD",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704267613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas D. Collins, M.D.
• Marie M Combs
• Communication Haven, LLC
• Comprehensive ENT P.C.
• Brittany Conway, LLPC
• Corlett & Mintek PLLC (Downtown Allegan Family Practice)
• County of Allegan (Allegan County Medical Care Community)
• David P and Mona E Ruse (Allegan Co. Chiropractic Health Center)
• William Dewitt Davis, MD. FAAP
• Dejonge Physical Therapy, LLC

• Family Nurse Practitioner in Allegan, MI
• Providers in Allegan, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.