Michelle Cooper, NURSE PRACTITIONER

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

SP026150 Issued in PA

Practice address

2050 Diamond Rock Hill Rd
Malvern, PA 19355-9529

Phone

(484) 819-0411

Fax

(484) 902-0260

NPI assigned

Nov 23, 2022

Last updated

Nov 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 PA

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services PA PCGroup PAC ID 2567827157, 75 clinicians

Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc. Home health agency, Jamison, PA, CCN 397791
• Holy Redeemer Home Care-PA Home health agency, Philadelphia, PA, CCN 397104
• At Home Rehab LLC Home health agency, Southampton, PA, CCN 397786

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Curana Health of Pennsylvania PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1679205876
  Medicare reassignment Care Compare group NPD
• CH Specialty Services PA PC

  • Internal Medicine Physician
  • Allentown, PA
  • NPI 1295438547
  Medicare reassignment Care Compare group

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

• Holy Redeemer Health System

  dba Holy Redeemer Home Care - PA

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1972577617
  Care Compare affiliation Name & address match
• At Home Rehab, L.L.C.

  • Home Health Agency
  • Southampton, PA
  • NPI 1720082290
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Blue Bell, PA
  • NPI 1245323351
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Hatboro, PA
  • NPI 1316387798
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Bethlehem, PA
  • NPI 1477713519
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Jamison, PA
  • NPI 1649217092
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Newtown, PA
  • NPI 1801837976
  Care Compare affiliation

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1730898206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SMOKETREE RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190562208",
            "telephone_number": "215-805-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 DIAMOND ROCK HILL RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193559529",
            "telephone_number": "484-819-0411",
            "fax_number": "484-902-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHELLE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP026150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica W Connell, CRNP
• Staci June Connolly, LCSW
• Dawn Connors, MSW, LCSW
• Jaclyn Conrad, M.S., NCC
• Nancy J Conway, LCSW
• Linda Carman Copel, PHD
• Coram Alternate Site Services Inc (Coram CVS/specialty Infusion Services)
• Coram Alternate Site Services, Inc. (Coram CVS/specialty Infusion Services)
• Michael D. Corcoran
• Cornerstone Counseling and Wellness, LLC (Cornerstone Therapy and Wellness)

• Gerontology Nurse Practitioner in Malvern, PA
• Providers in Malvern, PA by specialty
• Gerontology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.