Active NPI
Melinda Marie Cooper, FNP
- Family Nurse Practitioner
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AC005797
- Practice address
- 1741 Dual Hwy
Hagerstown, MD 21740-6624 - Phone
- (301) 337-7749
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024188012 | VA | |
| Family Nurse Practitioner | 363LF0000X | 117249 | WV | |
| Family Nurse Practitioner | 363LF0000X | PA066069 | PA | |
| Family Nurse Practitioner | 363LF0000X | RN2386999 | MA | |
| Family Nurse Practitioner | 363LF0000X | AC005797 | MD | Primary |
| Family Nurse Practitioner | 363LF0000X | 904864 | MS |
Addresses
Primary practice location
1741 Dual Hwy
Hagerstown, MD 21740-6624
Mailing address
11217 Karli LN
Biloxi, MS 39532-8026
Phone (228) 257-9289
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417629403 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, WV, MD, VA, PA, MA, DC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1275 Hwy 54 W
Suite 201
Fayetteville, GA 30214-4538
Phone (770) 461-3776
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA066069 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC - Massachusetts | Multi-Specialty | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Multi-Specialty | Current | Accepting new patients |
| Urgent Care, PC - Pennsylvania | Multi-Specialty | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Massachusetts | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Maryland | Current | Accepting new patients | |
| CRH MD Management LLC | Multi-Specialty | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Maryland | Multi-Specialty | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Virginia | Multi-Specialty | Current | Accepting new patients |
| Fast Pace Mississippi, PLLC | Multi-Specialty | Current | Accepting new patients |
| CRH MD Management, LLC | Current | Accepting new patients | |
| Medexpress Urgent Care, PC - Virginia | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients |
Locations
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144
99 Baughmans Ln
Frederick, MD 21702
Phone (301) 662-1392
1741 Dual Hwy
Ste A
Hagerstown, MD 21740
Phone (301) 790-0254
1741 Dual Hwy
Hagerstown, MD 21740
Phone (301) 337-7749
14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684
11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094
14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800
3265 Highway 90
Gautier, MS 39553
Phone (228) 366-9136
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
1008 Azalea Dr
Waynesboro, MS 39367
Phone (601) 509-2584
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
1336 W Main St
Salem, VA 24153
Phone (540) 389-0374
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Organizations & group practices 14
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.
-
- Urgent Care Clinic/Center
- Hagerstown, MD
- NPI 1164707980
Multi-Specialty
-
- Urgent Care Clinic/Center
- Hadley, MA
- NPI 1558882845
Multi-Specialty
-
- Urgent Care Clinic/Center
- Bluefield, VA
- NPI 1215219878
Multi-Specialty
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
Multi-Specialty
-
- Urgent Care Clinic/Center
- Fort Washington, MD
- NPI 1841072477
-
- Urgent Care Clinic/Center
- Waldorf, MD
- NPI 1528415064
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
-
- Urgent Care Clinic/Center
- Springfield, MA
- NPI 1134506488
-
- Urgent Care Clinic/Center
- Williamsport, PA
- NPI 1467744375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742860800000",
"number": "1417629403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11217 KARLI LN",
"city": "BILOXI",
"state": "MS",
"postal_code": "395328026",
"telephone_number": "228-257-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1741 DUAL HWY",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217406624",
"telephone_number": "301-337-7749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "MELINDA",
"middle_name": "MARIE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2025-03-25",
"certification_date": "2025-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024188012",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "117249",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "PA066069",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2386999",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC005797",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "904864",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417629403",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.