JESSICA ROSE COOPER (CNP) – Women's Health Nurse Practitioner, NPI 1548581218

JESSICA ROSE COOPER (CNP) is a healthcare provider. based in Miamisburg, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. APRN.CNP.10960 (OH). The NPI Number for JESSICA ROSE COOPER (CNP) is 1548581218

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA ROSE COOPER (CNP)
NPI
1548581218
Phone
(937) 762-1310
Address
1 PRESTIGE PL STE 550
Enumeration Date
17 June 2010
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9378484850
Graduation Year
2009 (17 years ago)
PAC ID
5799130670
Group Practice PAC ID
3173710936
Professional Enrollment ID
I20231012001887
Address ID
OH454597021CE6438XPIKE304

Contacts

FHIR Endpoint
https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Secure Messaging
jcooper459111@direct.ketteringhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JESSICA ROSE COOPER (CNP)

  • 1 PRESTIGE PL STE 550

    MIAMISBURG, OH 453426115

    Phone: (937) 762-1310

    Fax: (375) 228-0689

    Type: Mailing

  • 6438 WILMINGTON PIKE STE 300

    CENTERVILLE, OH 454597021

    Phone: (937) 848-4850

    Fax: (937) 848-4858

    Type: Location

  • 2314 AUBURN AVE

    CINCINNATI, OH 452192802

    Phone: (513) 824-7842

    Fax: (513) 824-7843

    Type: Mailing

  • 2314 Auburn Ave

    Cincinnati, OH 452192802

    Phone: (513) 824-7842

    Fax: (513) 824-7843

    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 $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2023-06-26 • Largest payer in this snapshot: Gilead Sciences, Inc. ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Gilead Sciences, Inc.$24
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: 2023-10-12

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
I20231012001887INurse PractitionerOHTBD

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 45342)

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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: 3173710936View full group profile
NameSpecialtyState
Geriatric Medicine, Hematology/OncologyIL
Nurse PractitionerOH
Hematology/Oncology, Internal MedicineOH
Radiation OncologyOH
Nurse PractitionerOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Orthopedic SurgeryOH
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineOH
Physician AssistantOH
Hospitalist, Emergency MedicineOH

Reviews

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Frequently asked questions

What NPI should I save for JESSICA ROSE COOPER (CNP)?
Save NPI 1548581218 if you need a stable reference for JESSICA ROSE COOPER (CNP).
Is JESSICA ROSE COOPER (CNP) active in the national directory?
JESSICA ROSE COOPER (CNP)'s public NPI profile is in an active state.
What field does JESSICA ROSE COOPER (CNP) work in?
You can think of JESSICA ROSE COOPER (CNP) as practicing within Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place JESSICA ROSE COOPER (CNP)?
The snapshot lists Miamisburg, Ohio for JESSICA ROSE COOPER (CNP); download NPPES for the complete set.
What if Miamisburg, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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