Active NPI
Melissa Lynn Cooper, PA-C
- Surgical Physician Assistant
- Merrillville, IN
National Provider Identifier
1992088199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 10001330A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 99048717A | IN | MD | Surgical Physician Assistant |
Interoperability endpoints
- northpointorth.melissacooper@141934.advancedmd-direct.com
- 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.
-
- Orthopaedic Surgery of the Spine Physician
- Munster, IN
- NPI 1801378088
-
- Orthopaedic Surgery Physician
- Schererville, IN
- NPI 1104823848
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.