Jessica L Cooper (NPI# 1013384262, PAC ID# 8729380605) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013384262 |
| PAC ID by PECOS | 8729380605 |
| Professional Enrollment ID | I20160108002003 |
| Full Name | Jessica L Cooper |
| Organization Legal Name | ELITE EMERGENCY PHYSICIANS INC |
| Address |
1915 Lake Ave Plymouth IN 46563-9366 |
| Phone Number | 5745233160 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022087642 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150076 | SAINT JOSEPH REGIONAL MEDICAL CENTER - PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1915 Lake Ave, Plymouth, IN 46563-9366 | 5745233160 | ELITE EMERGENCY PHYSICIANS INC |
| Organization Legal Name | ELITE EMERGENCY PHYSICIANS INC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy B Davidson | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Christy L Annis | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Matthew T Michalski | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Jeffrey R Show | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Christopher A Chesnut | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Jonathan Shenk | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Kurtis J Dejong | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Phillip E. Schafer | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Mark Lawrence Kricheff | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Caesar J Weston Iii | Emergency Medicine | Elite Emergency Physicians Inc | 600 E Blvd, Elkhart, IN 46514-2483 |
| Street Address |
1915 LAKE AVE |
| City | PLYMOUTH |
| State | IN |
| Zip | 46563-9366 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Shaun Singh | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
| Brion B Shin | Radiation Oncology | Michiana Hematology-oncology P C | 1915 Lake Ave, Plymouth, IN 46563-9366 |
| Benjamin Cale Friesen | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
| Fatima A Husain | Family Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
| Bogdan Sima | Internal Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 1915 Lake Ave, Plymouth, IN 46563-9366 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosalie M Regedanz | Physical Therapy | 440 W Jefferson St, Plymouth, IN 46563-1646 | |
| Amber D Trump | Physical Therapy | Robert J Amico Pt Inc | 576 N Oak Dr, Plymouth, IN 46563-1664 |
| Nanette M Fredericks | Clinical Social Worker | 322 W Jefferson St, Plymouth, IN 46563-1734 | |
| Mary E Schwartz | Podiatry | 116 E Washington St, Plymouth, IN 46563-1744 | |
| Jillorna Ann Uceny | Clinical Social Worker | 310 N Michigan St, Suite 208, Plymouth, IN 46563-1753 | |
| Rebecca Brice | Pediatric Medicine | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Tiffany T Richards | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Jill M Geer | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Dawn Lee Heckathorn | Nurse Practitioner | Saint Joseph Regional Medical Center Plymouth Campus Inc | 510 W Adams St, Suite 150, Plymouth, IN 46563-1789 |
| Margaret T Snyder | Psychologist, Clinical | 505 Colonial Ct, Plymouth, IN 46563-1860 | |
| Find all physicians in zip 46563 | |||
| City | PLYMOUTH |
| Zip Code | 46563 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PLYMOUTH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica L Cooper.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.