Melvin L Cooper Jr., AG-ACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP133259 Issued in TX

Practice address

1106 College St Ste C
Bastrop, TX 78602-3948

Phone

(512) 244-2895

Fax

(512) 244-2895

NPI assigned

Feb 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ipc Healthcare Services of Texas, PLLC

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1023403011

  Nurse Practitioner

  Medicare reassignment NPD
• Inpatient Medicine Physicians PA

  • Hospitalist Physician
  • New Braunfels, TX
  • NPI 1316973043
  NPD
• Lone Star Extensivists PLLC

  • Internal Medicine Physician
  • New Braunfels, TX
  • NPI 1568296952
  NPD
• Surgeons Who Only Care for Kids, PA

  • Surgery Physician
  • Cedar Park, TX
  • NPI 1386192656
  NPD (past)

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1841739638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W LOUIS HENNA BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787281203",
            "telephone_number": "512-492-3743",
            "fax_number": "512-593-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLLEGE ST STE C",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023948",
            "telephone_number": "512-244-2895",
            "fax_number": "512-244-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MELVIN",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP133259",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP133259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cole T Smith, DDS
• Nathan Charles Collins, D.D.S.
• Community Health Centers of South Central Texas Inc.
• Community Health Centers of South Central Texas, Inc.
• Makenzie Marie Cook, PA
• John Joseph Costello, M.D
• Alison Cox
• Cynthia Donna Coyne, MD
• Stacey L. Cunningham, LPC
• CVS Pharmacy, Inc.

• Nurse Practitioner in Bastrop, TX
• Providers in Bastrop, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.