MRS. KIMBERLEY ANNE COOPER (FNP-C) – Nurse Practitioner, NPI 1104701481

MRS. KIMBERLEY ANNE COOPER (FNP-C) is a healthcare provider. based in Dover, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. LG-0013323 (DE). The NPI Number for MRS. KIMBERLEY ANNE COOPER (FNP-C) is 1104701481

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLEY ANNE COOPER (FNP-C)
NPI
1104701481
Phone
(302) 674-0223
Address
200 BANNING ST STE 320
Enumeration Date
7 August 2025
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026740223
Graduation Year
2025 (1 year ago)
PAC ID
1951883040
Group Practice PAC ID
0446290456
Professional Enrollment ID
I20260306002641
Address ID
DE199043488DO200XXSTXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

Provider Addresses for MRS. KIMBERLEY ANNE COOPER (FNP-C)

  • 200 BANNING ST STE 320

    DOVER, DE 199043488

    Phone: (302) 674-0223

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2026-03-06

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
I20260306002641INurse PractitionerDETBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19904)

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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: 0446290456View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YDE
O B S T E T R I C S/ G Y N E C O L O G YDE
O B S T E T R I C S/ G Y N E C O L O G YDE
Certified Nurse Midwife (Cnm)DE
O B S T E T R I C S/ G Y N E C O L O G YDE
O B S T E T R I C S/ G Y N E C O L O G YDE
-DE
O B S T E T R I C S/ G Y N E C O L O G YDE
-MN
General SurgeryDE

Reviews

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Frequently asked questions

How is MRS. KIMBERLEY ANNE COOPER (FNP-C) identified in CMS data?
CMS-hosted NPPES data lists MRS. KIMBERLEY ANNE COOPER (FNP-C) with NPI 1104701481.
Is MRS. KIMBERLEY ANNE COOPER (FNP-C) listed as active for patients and plans?
The listing shows MRS. KIMBERLEY ANNE COOPER (FNP-C) as active in the NPI system.
What healthcare role does MRS. KIMBERLEY ANNE COOPER (FNP-C) hold?
Scheduling teams often label MRS. KIMBERLEY ANNE COOPER (FNP-C) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. KIMBERLEY ANNE COOPER (FNP-C) list a practice location?
Patients near Dover, Delaware may find MRS. KIMBERLEY ANNE COOPER (FNP-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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