Individual provider Active NPI

Clarissa Cooper, NP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1639988207
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11240542 Issued in FL
Practice address
7275 SW 89TH St Apt B711
Miami, FL 33156-2982
Phone
(857) 364-1166
NPI assigned
Jan 7, 2025
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11240542 FL Primary
Family Nurse Practitioner 363LF0000X F356564 NY

Addresses

Primary practice location

7275 SW 89TH St Apt B711
Miami, FL 33156-2982

Mailing address

7275 SW 89TH St Apt B711
Miami, FL 33156-2982
Phone (857) 364-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250415000781 NY Practitioner - Nurse Practitioner 0840715660 Reassigns benefits to 7 organizations
I20260220004020 FL Practitioner - Nurse Practitioner 0840715660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians
SG Medical Professional PCGroup PAC ID 9133646953, 17 clinicians

Practice addresses (Care Compare)

170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 208-4460

21067 Powerline Rd
Suite 57
Boca Raton, FL 33433-2313
Phone (631) 759-9920

260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (631) 759-9920

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F11240542FLMDFamily Nurse Practitioner
F356564NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Medical Practice P.C. CurrentSince Apr 12, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Apr 12, 2025 Accepting new patients
Infinite Medical PC CurrentSince Feb 8, 2025 Accepting new patients
SG Medical Professional PC CurrentSince Oct 1, 2025 Accepting new patients
Essen Medical Associates, PC CurrentSince Apr 12, 2025 Accepting new patients
Essen Medical Urgicare, PLLC CurrentSince Apr 12, 2025 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Apr 12, 2025 Accepting new patients
Rd Medical Professional Services PC Past Accepting new patients

Locations

21067 Powerline Rd 57
Boca Raton, FL 33433

21067 Powerline Rd 57
Boca Raton, FL 33433

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

801 W 190th St
New York, NY 10040
Phone (212) 543-5000

140 Beach 114th St
Rockaway Park, NY 11694
Phone (718) 945-4600

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1639988207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 SW 89TH ST APT B711",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562982",
            "telephone_number": "857-364-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 SW 89TH ST APT B711",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562982",
            "telephone_number": "857-364-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CLARISSA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F11240542",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.