JENNIFER NIKKI COOPER (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1447143524

JENNIFER NIKKI COOPER (PMHNP-BC) is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 209-032407 (IL). The NPI Number for JENNIFER NIKKI COOPER (PMHNP-BC) is 1447143524

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNIFER NIKKI COOPER (PMHNP-BC)
NPI
1447143524
Phone
(281) 995-6161
Address
7042 S INDIANA AVE
Enumeration Date
29 May 2025
Last Update Date
4 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7087565200
Graduation Year
2025 (1 year ago)
PAC ID
2668966334
Group Practice PAC ID
3577895176
Professional Enrollment ID
I20251210001900
Address ID
IL604114141SO120XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for JENNIFER NIKKI COOPER (PMHNP-BC)

  • 7042 S INDIANA AVE

    CHICAGO, IL 606374510

    Phone: (281) 995-6161

    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: 2025-12-10

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
I20251210001900INurse PractitionerILTBD

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 60637)

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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: 3577895176View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerNJ
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerWI
Nurse PractitionerIL
Mental Health CounselorIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What number should I use to identify JENNIFER NIKKI COOPER (PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1447143524 for JENNIFER NIKKI COOPER (PMHNP-BC).
Does the public listing show JENNIFER NIKKI COOPER (PMHNP-BC) as active?
JENNIFER NIKKI COOPER (PMHNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say JENNIFER NIKKI COOPER (PMHNP-BC) does?
Insurance directories may phrase it differently, but here JENNIFER NIKKI COOPER (PMHNP-BC) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to JENNIFER NIKKI COOPER (PMHNP-BC)?
The directory associates JENNIFER NIKKI COOPER (PMHNP-BC) with Chicago, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for JENNIFER NIKKI COOPER (PMHNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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