JORDYN COOPER (APRN) – Family Nurse Practitioner, NPI 1578117149

JORDYN COOPER (APRN) is a healthcare provider. based in Fort scott, Kansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 2015018000 (MO). The NPI Number for JORDYN COOPER (APRN) is 1578117149

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JORDYN COOPER (APRN)
NPI
1578117149
Phone
(620) 223-8428
Address
1624 S NATIONAL AVE
Enumeration Date
31 July 2019
Last Update Date
16 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9136762000
Graduation Year
2019 (7 years ago)
PAC ID
5496182289
Group Practice PAC ID
9537119037
Professional Enrollment ID
I20200217000359
Address ID
KS662044004ME9100XSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

3,550 NURSE PRACTITIONER in KS

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Provider Addresses for JORDYN COOPER (APRN)

  • 1624, South National Avenue, Fort Scott, Bourbon County, Kansas, 66701, United States

    FORT SCOTT, KS 667012645

    Phone: (620) 223-8428

    Fax: (620) 223-5011

    Type: Location

  • 3011, North Michigan Street, Pittsburg, Crawford County, Kansas, 66762, United States

    PITTSBURG, KS 667622546

    Phone: (620) 231-9873

    Type: Mailing

  • PO BOX 1832

    PITTSBURG, KS 667621832

    Phone: (620) 231-9873

    Type: Mailing

  • 1017 E MARKET ST

    LA CYGNE, KS 660409102

    Phone: (913) 757-4575

    Fax: (620) 223-5011

    Type: Location

  • 1401 BAPTISTE DR STE A

    PAOLA, KS 660711888

    Phone: (913) 294-2305

    Fax: (913) 294-2305

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2023-07-31 • Largest payer in this snapshot: Dexcom, Inc. ($27).

Total Amount

$72

General + Research + Ownership

Payments

4

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-31

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: 2020-02-17

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
I20200217000359INurse PractitionerKSTBD

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 66701)

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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: 9537119037View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)KS
Family PracticeNC
Nurse PractitionerKS
-KS
Physician AssistantKS
Nurse PractitionerKS
-KS
Internal MedicineKS
Nurse PractitionerKS
Cardiovascular Disease (Cardiology)KS

Reviews

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Frequently asked questions

What is the standard ID for JORDYN COOPER (APRN) in the U.S.?
In the U.S., JORDYN COOPER (APRN) is identified by NPI 1578117149.
Should I treat JORDYN COOPER (APRN) as an active provider?
Patients and plans typically see JORDYN COOPER (APRN) as active in the national extract.
What services align with JORDYN COOPER (APRN)'s listing?
JORDYN COOPER (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to JORDYN COOPER (APRN)?
JORDYN COOPER (APRN) shows a connection to Fort Scott, Kansas in registry-derived data.
Who maintains JORDYN COOPER (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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