Individual provider Active NPI

Melissa Lynn Cooper, PA-C

  • Surgical Physician Assistant
  • Merrillville, IN
National Provider Identifier
1992088199
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10001330A Issued in IN
Practice address
9001 Broadway
Merrillville, IN 46410-7041
Phone
(219) 795-3360
Fax
(219) 756-6500
NPI assigned
Sep 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 99048717A IN
Surgical Physician Assistant 363AS0400X 10001330A IN Primary

Addresses

Primary practice location

9001 Broadway
Merrillville, IN 46410-7041

Mailing address

1040 Sierra Dr
Ste 400
Greenwood, IN 46143-7241
Phone (317) 865-8540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20111014000445 IN Practitioner - Physician Assistant 2567634678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Point Orthopedics LLCGroup PAC ID 5597018523, 17 clinicians

Practice addresses (Care Compare)

9445 Calumet Ave
Munster, IN 46321-2811
Phone (219) 836-1060

Merit-based Incentive Payment System (MIPS)

Final score
73.78 of 100Reported as group
Quality
53.01
Promoting interoperability
99
Improvement activities
40
Cost
60.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
99048717AINMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: northpointorth.melissacooper@141934.advancedmd-direct.com
  • Direct secure messaging: mcooper55652@direct.franciscanalliance.org

Organizations & group practices 2

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": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1992088199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "STE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437241",
            "telephone_number": "317-865-8540",
            "fax_number": "317-865-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107041",
            "telephone_number": "219-795-3360",
            "fax_number": "219-756-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "99048717A",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10001330A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.