ELLEN MICHELE COOPER (MD) – Surgery Physician, NPI 1003920596

ELLEN MICHELE COOPER (MD) is a healthcare provider. based in Truckee, California. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ML20008204 (WA). The NPI Number for ELLEN MICHELE COOPER (MD) is 1003920596

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN MICHELE COOPER (MD)
NPI
1003920596
Phone
(530) 587-7698
Address
10051 LAKE AVE STE 4
Enumeration Date
19 August 2006
Last Update Date
16 February 2012

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
5305876011
Graduation Year
2005 (21 years ago)
PAC ID
4587798202
Group Practice PAC ID
0446161335
Professional Enrollment ID
I20111017000177
Address ID
CA961614835TR10121AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,317 GENERAL SURGERY in CA

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Provider Addresses for ELLEN MICHELE COOPER (MD)

  • Lake Avenue, Gateway Park, Gateway, Truckee, Nevada County, California, 96160, United States

    TRUCKEE, CA 961614870

    Phone: (530) 587-7698

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $259.

Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: United Therapeutics Corporation ($125).

Total Amount

$259

General + Research + Ownership

Payments

7

Total payment records

General Amount

$259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111017000177IGeneral SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 96161)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446161335View full group profile
NameSpecialtyState
Physician AssistantCA
-CA
A N E S T H E S I O L O G YAZ
A N E S T H E S I O L O G YNV
Internal MedicineNV
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
O B S T E T R I C S/ G Y N E C O L O G YNV
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to ELLEN MICHELE COOPER (MD)?
NPI 1003920596 is assigned to ELLEN MICHELE COOPER (MD) under the national enumeration system.
Is ELLEN MICHELE COOPER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ELLEN MICHELE COOPER (MD) work in?
You can think of ELLEN MICHELE COOPER (MD) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Does ELLEN MICHELE COOPER (MD) practice in California?
You will see Truckee, California on file for ELLEN MICHELE COOPER (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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