ALEXANDRA MARIE COOPER (PA-C) – Physician Assistant, NPI 1154098259

ALEXANDRA MARIE COOPER (PA-C) is a healthcare provider. based in Deerfield, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 027351 (NY). The NPI Number for ALEXANDRA MARIE COOPER (PA-C) is 1154098259

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA MARIE COOPER (PA-C)
NPI
1154098259
Phone
(847) 480-0004
Address
707 LAKE COOK RD STE 280
Enumeration Date
26 August 2021
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474800004
Graduation Year
2021 (5 years ago)
PAC ID
7315478203
Group Practice PAC ID
6204841760
Professional Enrollment ID
I20250411001842
Address ID
IL600155255DE707XXRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for ALEXANDRA MARIE COOPER (PA-C)

  • 707 LAKE COOK RD STE 280

    DEERFIELD, IL 600155255

    Phone: (847) 480-0004

    Fax: (847) 480-8707

    Type: Location

  • 163 WILLIAM ST

    NEW YORK, NY 100382602

    Phone:

    Type: Mailing

  • 220 FRONT ST

    NEW YORK, NY 100382033

    Phone: (212) 385-3700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 161 Open Payments records for all available years, with a total value of $4,246.

Total Amount is formed as General ($4,246) + Research ($0) + Ownership ($0) = $4,246.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($559).

Total Amount

$4,246

General + Research + Ownership

Payments

161

Total payment records

General Amount

$4,246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2025-04-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20241029003913IPhysician AssistantNYTBD
I20250411001842IPhysician AssistantILTBD

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 60015)

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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: 6204841760View full group profile
NameSpecialtyState
D E R M A T O L O G YIL
P A T H O L O G YIN
P A T H O L O G YIL
D E R M A T O L O G YIL
Physician AssistantIL
P A T H O L O G YIL
Nurse PractitionerIL
D E R M A T O L O G YIL
P A T H O L O G YIL
Dermatology, Micrographic Dermatologic Surgery (Mds)IL

Reviews

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Frequently asked questions

Where can patients find ALEXANDRA MARIE COOPER (PA-C)'s NPI?
You can confirm ALEXANDRA MARIE COOPER (PA-C) with NPI 1154098259; it appears in the national provider directory.
Is ALEXANDRA MARIE COOPER (PA-C)'s NPI currently valid?
The extract we use shows ALEXANDRA MARIE COOPER (PA-C) as active.
Can you summarize ALEXANDRA MARIE COOPER (PA-C)'s specialty in plain language?
Clinically, the directory lists ALEXANDRA MARIE COOPER (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ALEXANDRA MARIE COOPER (PA-C) practice in Illinois?
You will see Deerfield, Illinois on file for ALEXANDRA MARIE COOPER (PA-C) alongside any extra practice locations.
What if Deerfield, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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