PAMELA LYNN COOPER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003072349

PAMELA LYNN COOPER (PMHNP-BC) is a healthcare provider. based in Fort myers, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 4704209177 (MI). The NPI Number for PAMELA LYNN COOPER (PMHNP-BC) is 1003072349

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA LYNN COOPER (PMHNP-BC)
NPI
1003072349
Phone
(866) 936-5250
Address
12734 KENWOOD LN
Enumeration Date
6 August 2008
Last Update Date
6 August 2008

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9417132231
Graduation Year
2007 (19 years ago)
PAC ID
1052476975
Group Practice PAC ID
7214847995
Professional Enrollment ID
I20090210000246
Address ID
FL342198410PA12271NXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for PAMELA LYNN COOPER (PMHNP-BC)

  • 12734 KENWOOD LN

    SUITE 84

    FORT MYERS, FL 339075666

    Phone: (866) 936-5250

    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 17 Open Payments records for all available years, with a total value of $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($154).

Total Amount

$200

General + Research + Ownership

Payments

17

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2009-02-10

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
I20090210000246INurse PractitionerFLTBD

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 33907)

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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: 7214847995View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-FL
Nurse PractitionerFL
-TN
Clinical Social WorkerWV
Cardiovascular Disease (Cardiology)FL
Clinical PsychologistFL

Reviews

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Frequently asked questions

Does PAMELA LYNN COOPER (PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — PAMELA LYNN COOPER (PMHNP-BC) uses 1003072349.
Is PAMELA LYNN COOPER (PMHNP-BC) listed as active for patients and plans?
The listing shows PAMELA LYNN COOPER (PMHNP-BC) as active in the NPI system.
What is PAMELA LYNN COOPER (PMHNP-BC) best known for clinically?
Directory data describes PAMELA LYNN COOPER (PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect PAMELA LYNN COOPER (PMHNP-BC) on a map?
Expect Fort Myers, Florida as a primary anchor for PAMELA LYNN COOPER (PMHNP-BC) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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