Krysta Mychal Cooper, APRN, CNP is a
Nurse Practitioner - Family physician based in Jamestown, Ohio. Krysta Mychal Cooper is licensed to practice in Ohio (license number APRN.CNP.023461) and her current practice location is 4790 Cottonville Rd, Jamestown, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 675-2870.
NPI number for Krysta Mychal Cooper is 1346728730 and her current mailing address is 4790 Cottonville Rd, Jamestown, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346728730.
Physician's Profile
Full Name | Krysta Mychal Cooper |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4790 Cottonville Rd, Jamestown, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346728730
- Provider Enumeration Date: 07/30/2018
- Last Update Date: 12/02/2020
Medical Identifiers
Medical identifiers for Krysta Mychal Cooper such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346728730 | NPI | - | NPPES |
0315026 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | LE-00024808 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.023461 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Krysta Mychal Cooper is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Krysta Mychal Cooper, APRN, CNP 4790 Cottonville Rd, Jamestown, OH 45335-1518 Ph: (937) 675-2870 | Krysta Mychal Cooper, APRN, CNP 4790 Cottonville Rd, Jamestown, OH 45335-1518 Ph: (937) 675-2870 |
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