ANDREW COOPER (CRNA) – Certified Registered Nurse Anesthetist, NPI 1639721095

ANDREW COOPER (CRNA) is a healthcare provider. based in Grand blanc, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704308923 (MI). The NPI Number for ANDREW COOPER (CRNA) is 1639721095

Main info

Male
7 Years Of Experience
Name
ANDREW COOPER (CRNA)
NPI
1639721095
Phone
(616) 617-0672
Address
2019 FOX HILL DR APT 12
Enumeration Date
15 July 2019
Last Update Date
30 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699792490
Graduation Year
2019 (7 years ago)
PAC ID
6608105705
Group Practice PAC ID
3274971007
Professional Enrollment ID
I20190916002268
Address ID
MI490159393BA3600XSWXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for ANDREW COOPER (CRNA)

  • 2019 FOX HILL DR APT 12

    GRAND BLANC, MI 484395206

    Phone: (616) 617-0672

    Type: Mailing

  • 1500 E Sherman Blvd

    Muskegon, MI 494441849

    Phone: (231) 672-2000

    Type: Location

  • 601 John St

    Kalamazoo, MI 490075341

    Phone: (269) 341-7654

    Type: Location

  • 1521 Gull Rd

    Kalamazoo, MI 490481640

    Phone: (269) 226-7000

    Type: Location

  • 900, Peeler Street, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490082300

    Phone: (269) 345-8618

    Fax: (269) 345-1508

    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 $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-10-05 • Largest payer in this snapshot: Medline Industries LP ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-05

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$14
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: 2019-09-16

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
I20190916002268ICertified Registered Nurse Anesthetist (Crna)MITBD

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 48439)

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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: 3274971007View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREW COOPER (CRNA)?
NPI 1639721095 is assigned to ANDREW COOPER (CRNA) under the national enumeration system.
Is ANDREW COOPER (CRNA)'s NPI currently valid?
The extract we use shows ANDREW COOPER (CRNA) as active.
What kind of provider is ANDREW COOPER (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for ANDREW COOPER (CRNA). Clinical services aligned with this taxonomy classification.
Does ANDREW COOPER (CRNA) practice in Michigan?
You will see Grand Blanc, Michigan on file for ANDREW COOPER (CRNA) alongside any extra practice locations.
Is ANDREW COOPER (CRNA) a real provider?
This page reflects official NPPES data for NPI 1639721095. Always confirm identity and privileges with the practice and licensing boards.

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