Individual provider Active NPI

Brenda Lynn Cooper, ARNP

  • Nurse Practitioner
  • Cedar Falls, IA
National Provider Identifier
1770537300
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A094763 Issued in IA
Practice address
2351 Hudson Rd
Suite 001
Cedar Falls, IA 50614-0001
Phone
(319) 273-5275
Fax
(319) 273-5295
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A094763 IA Primary

Addresses

Primary practice location

2351 Hudson Rd
Suite 001
Cedar Falls, IA 50614-0001

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Other identifiers 3

IdentifierTypeStateIssuer
05948OtherIAWELLMARK INS PLAN
421417307K7OtherJOHN DEERE HEALTH CARE
0480806MedicaidIA

Other names 1

  • Brenda Lynn Lewis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brenda.cooper@cvms.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20051208000987 IA Practitioner - Nurse Practitioner 2567483241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Floyd County Memorial Hospital CommissionGroup PAC ID 0143138669, shared by 4 NPIs, 39 clinicians

Practice addresses (Care Compare)

800 11TH St
Charles City, IA 50616-3468
Phone (641) 257-1184

Hospital & facility affiliations

  • Floyd County Medical Center Hospital, Charles City, IA, CCN 161347
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339
  • Mercyone North Iowa Medical Center Hospital, Mason City, IA, CCN 160064

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd County Memorial Hospital Commission Current Accepting new patients
Floyd County Memorial Hospital Commission CurrentSince May 1, 2024 Accepting new patients
Floyd County Memorial Hospital Commission CurrentSince May 1, 2024 Accepting new patients
Floyd County Hosp Past Accepting new patients
Cedar Valley Medical Specialists PC PastSince Oct 23, 2022 Accepting new patients

Locations

800 11th St
Charles City, IA 50616
Phone (641) 228-6830

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

312 9th St SW
Ste 3400
Waverly, IA 50677
Phone (319) 483-4029

Interoperability endpoints

  • Direct secure messaging: bcooper437842@direct.gundersenhealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1770537300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390",
            "fax_number": "319-235-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 HUDSON RD",
            "address_2": "SUITE 001",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506140001",
            "telephone_number": "319-273-5275",
            "fax_number": "319-273-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "BRENDA",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A094763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "05948",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH CARE",
            "identifier": "421417307K7",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0480806",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brenda.cooper@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2351 Hudson Rd",
            "address_2": "Suite 001",
            "city": "Cedar Falls",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506140001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "LEWIS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.