CHERRY L COOPER (APRN) – Nurse Practitioner, NPI 1013808617

CHERRY L COOPER (APRN) is a healthcare provider. based in Bridgeport, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. PENDING (NE). The NPI Number for CHERRY L COOPER (APRN) is 1013808617

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CHERRY L COOPER (APRN)
NPI
1013808617
Phone
(308) 262-1616
Address
1313 S ST
Enumeration Date
11 July 2025
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3085861717
Graduation Year
2025 (1 year ago)
PAC ID
3577067073
Group Practice PAC ID
7719930437
Professional Enrollment ID
I20250918000205
Address ID
NE693341500BA320XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,112 NURSE PRACTITIONER in NE

Provider Addresses for CHERRY L COOPER (APRN)

  • 1313 S ST

    BRIDGEPORT, NE 693362563

    Phone: (308) 262-1616

    Fax: (308) 262-0843

    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: 2025-09-18

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
I20250918000205INurse PractitionerNETBD

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 69336)

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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: 7719930437View full group profile
NameSpecialtyState
Emergency MedicineOR
Clinical Social WorkerNE
-CO
Family PracticeME
Family PracticeNE
Physician AssistantNE
Qualified AudiologistNE
Physician AssistantWY
Nurse PractitionerNE
Nurse PractitionerNE

Reviews

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Frequently asked questions

What NPI should I save for CHERRY L COOPER (APRN)?
Save NPI 1013808617 if you need a stable reference for CHERRY L COOPER (APRN).
Is CHERRY L COOPER (APRN) active in the national directory?
CHERRY L COOPER (APRN)'s public NPI profile is in an active state.
What does CHERRY L COOPER (APRN) treat or focus on?
Patients typically see CHERRY L COOPER (APRN) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for CHERRY L COOPER (APRN)?
We surface Bridgeport, Nebraska for CHERRY L COOPER (APRN) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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