Individual provider Active NPI

Abigail Jane Cooper, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Medina, OH
National Provider Identifier
1528858057
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0039123 Issued in OH
Practice address
801 E Washington St Ste 150
Medina, OH 44256-3336
Phone
(330) 722-2106
Fax
(330) 764-9712
NPI assigned
May 8, 2025
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0039123 OH Primary

Addresses

Primary practice location

801 E Washington St Ste 150
Medina, OH 44256-3336

Mailing address

831 Township Road 462
Nova, OH 44859-9709
Phone (330) 416-8612

Other practice location 1

8532 Mentor Ave
Mentor, OH 44060-5822
Phone (440) 205-1008

Other practice location 2

4161 Bridgewater Pkwy
Stow, OH 44224-6191
Phone (330) 865-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250708002321 OH Practitioner - Nurse Practitioner 8022522564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rakesh Ranjan M.D. and Assoc., IncGroup PAC ID 6507895067, 22 clinicians

Practice addresses (Care Compare)

801 E Washington St
Suite 150
Medina, OH 44256-3336
Phone 21658767273402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0039123OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rakesh Ranjan M.D. & Assoc., Inc. Psychiatric/Mental Health CurrentSince Jun 17, 2025 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Jun 17, 2025 Accepting new patients

Locations

12395 McCracken Rd
Ste A
Garfield Hts, OH 44125
Phone (216) 504-3646

12395 McCracken Rd
Ste H
Garfield Hts, OH 44125
Phone (216) 375-9897

801 E Washington St
Ste 150
Medina, OH 44256
Phone (330) 722-1069

8532 Mentor Ave
Mentor, OH 44060
Phone (440) 205-1008

4161 Bridgewater Pkwy
Stow, OH 44224
Phone (330) 865-4644

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1528858057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 TOWNSHIP ROAD 462",
            "city": "NOVA",
            "state": "OH",
            "postal_code": "448599709",
            "telephone_number": "330-416-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E WASHINGTON ST STE 150",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563336",
            "telephone_number": "330-722-2106",
            "fax_number": "330-764-9712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8532 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440605822",
            "country_code": "US",
            "telephone_number": "440-205-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4161 Bridgewater Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stow",
            "state": "OH",
            "postal_code": "442246191",
            "country_code": "US",
            "telephone_number": "330-865-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ABIGAIL",
        "middle_name": "JANE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0039123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.