Individual provider Active NPI

Jessica Cooper

  • Family Nurse Practitioner
  • Rochester, MI
National Provider Identifier
1902389372
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704286181 Issued in MI
Practice address
1135 W University Dr Ste 175
Rochester, MI 48307-1893
Phone
(248) 650-5861
NPI assigned
Sep 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704286181 MI
Family Nurse Practitioner 363LF0000X 4704286181 MI Primary

Addresses

Primary practice location

1135 W University Dr Ste 175
Rochester, MI 48307-1893

Mailing address

21990 Sturgeon River Dr
Macomb, MI 48042-1754
Phone (586) 980-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181218000041 MI Practitioner - Nurse Practitioner 5890030050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Rehabilitation Medicine PCGroup PAC ID 1759450323, 31 clinicians

Practice addresses (Care Compare)

1135 W University Dr
Suite 175
Rochester, MI 48307-1893
Phone (248) 650-5861

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Rehabilitation Medicine PC CurrentSince Jan 12, 2026 Accepting new patients

Locations

9640 Commerce Rd
Ste 202
Commerce Twp, MI 48382
Phone (248) 360-8660

1135 W University Dr
Ste 175
Rochester Hls, MI 48307
Phone (248) 650-4738

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1902389372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21990 STURGEON RIVER DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480421754",
            "telephone_number": "586-980-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 175",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071893",
            "telephone_number": "248-650-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704286181",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704286181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

Verify at the official NPI Registry.