DR. KRISTINE M. COOPER (D.O.) – Internal Medicine Physician, NPI 1639158330

DR. KRISTINE M. COOPER (D.O.) is a healthcare provider. based in Cedar rapids, Iowa. specializing in Internal Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 41561-021 (WI). The NPI Number for DR. KRISTINE M. COOPER (D.O.) is 1639158330

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTINE M. COOPER (D.O.)
NPI
1639158330
Phone
(319) 206-9561
Address
3419 16th Ave SW Ste 100
Enumeration Date
11 January 2006
Last Update Date
28 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4148050505
Graduation Year
1996 (30 years ago)
PAC ID
4981606902
Group Practice PAC ID
2668384371
Professional Enrollment ID
I20070205000312
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for DR. KRISTINE M. COOPER (D.O.)

  • 3419 16th Ave SW Ste 100

    Cedar Rapids, IA 524042335

    Phone: (319) 206-9561

    Fax: (319) 423-7978

    Type: Location

  • Froedtert Hospital, 9200, West Wisconsin Avenue, Cannon Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States

    MILWAUKEE, WI 532263522

    Phone: (414) 805-6850

    Fax: (414) 805-6851

    Type: Mailing

  • 3500 DALTON WAY SW STE 400

    CEDAR RAPIDS, IA 524042567

    Phone: (319) 369-4346

    Fax: (319) 369-4342

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $292.

Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($292).

Total Amount

$292

General + Research + Ownership

Payments

13

Total payment records

General Amount

$292

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

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: 2007-02-05

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
I20070205000312IInternal MedicineWITBD

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 52404)

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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: 2668384371View full group profile

Reviews

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Frequently asked questions

What is the registry number for DR. KRISTINE M. COOPER (D.O.)?
The registry entry for DR. KRISTINE M. COOPER (D.O.) shows NPI 1639158330.
Does the public listing show DR. KRISTINE M. COOPER (D.O.) as active?
DR. KRISTINE M. COOPER (D.O.)'s NPI record reflects an active status in NPPES.
What type of care does DR. KRISTINE M. COOPER (D.O.) provide?
DR. KRISTINE M. COOPER (D.O.)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KRISTINE M. COOPER (D.O.)?
DR. KRISTINE M. COOPER (D.O.) shows a connection to Cedar Rapids, Iowa in registry-derived data.
Who maintains DR. KRISTINE M. COOPER (D.O.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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