DR. TYLER DAWN COOPER (PMHNP) – Psychiatric/Mental Health Registered Nurse, NPI 1447928494
Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for DR. TYLER DAWN COOPER (PMHNP)
1300 N BAYSHORE DR
COOS BAY, OR 974202526
Phone: (775) 304-3811
Type: Mailing
2780 S AUTOSOME LN APT A406
MAGNA, UT 840441477
Phone: (775) 304-3811
Type: Mailing
95440 LILLIAN SLOUGH LN
COOS BAY, OR 974207557
Phone: (775) 304-3811
Type: Mailing
180 S EMPIRE BLVD
COOS BAY, OR 974203352
Phone: (775) 304-3811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $86.
Total Amount is formed as General ($86) + Research ($0) + Ownership ($0) = $86.
Last reported payment date: 2023-04-04 • Largest payer in this snapshot: ABBVIE INC. ($86).
Total Amount
$86
General + Research + Ownership
Payments
3
Total payment records
General Amount
$86
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $86 |
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: 2022-10-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221012002252 | I | Nurse Practitioner | OR | TBD |
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.
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 97420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | ID | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | NV | |
| Clinical Social Worker | OR | |
| - | CA | |
| Mental Health Counselor | MI | |
| Nurse Practitioner | OR | |
| - | OR | |
| Nurse Practitioner | MS | |
| Mental Health Counselor | OR |
Reviews
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