ANGELA M COOPER (PAC) – Medical Physician Assistant, NPI 1033193404
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
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Provider Addresses for ANGELA M COOPER (PAC)
1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States
LA CROSSE, WI 546015429
Phone: (608) 782-7300
Type: Mailing
4th Street Northwest, Lansing Township, Mower County, Minnesota, 55912, United States
LANSING, IA 521510540
Phone: (563) 538-4874
Fax: (563) 538-3099
Type: Location
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: 2012-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20070425000426 | I | Physician Assistant | IA | TBD |
| I20120725000560 | I | Physician Assistant | WI | 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 54601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Geriatric Medicine, Family Practice, Hospice/Palliative Care | WI | |
| - | WI | |
| - | WI | |
| O P T O M E T R Y | MN | |
| O T O L A R Y N G O L O G Y | WI | |
| Nurse Practitioner | WI | |
| P O D I A T R Y | WI | |
| Oral Surgery | WI | |
| Family Practice | WI | |
| Family Practice | NC |
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