JUSTIN R COOPER (NP) – Acute Care Nurse Practitioner, NPI 1710121959
Acute Care Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for JUSTIN R COOPER (NP)
701 E County Line Rd Ste 101
Greenwood, IN 461431070
Phone: (317) 885-2860
Fax: (317) 885-2869
Type: Location
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
CHICAGO, IL 606775383
Phone: (812) 376-5315
Type: Mailing
Columbus Regional Hospital Heliport, 2400, 17th Street, Columbus, Bartholomew County, Indiana, 47201, United States
COLUMBUS, IN 472015351
Phone: (812) 376-5757
Fax: (812) 376-5058
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $20.
Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($20).
Total Amount
$20
General + Research + Ownership
Payments
1
Total payment records
General Amount
$20
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $20 |
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: 2010-06-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100611000055 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 55 | 53 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 20 | 18 | $0 |
| 31500 | Emergent insertion of breathing tube into windpipe using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 46143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| Physician Assistant | IN | |
| N E U R O L O G Y | FL | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| Family Practice | IN | |
| Physician Assistant | IL | |
| Nurse Practitioner | IN |
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