| Jordyn Cooper, APRN | |
|
1401 Baptiste Dr Ste A, Paola, KS 66071-1888 | |
| (913) 294-2305 | |
| (913) 294-2305 |
| Full Name | Jordyn Cooper |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 1401 Baptiste Dr Ste A, Paola, Kansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578117149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WN0002X | Registered Nurse - Neonatal Intensive Care | 2015018000 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-79001 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Miami County Medical Center | Paola, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Center Of Southeast Kansas Inc | 7911816392 | 109 |
| Shawnee Mission Medical Center Inc | 9537119037 | 208 |
| Entity Name | Community Health Center Of Southeast Kansas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
| Entity Name | Shawnee Mission Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992735690 PECOS PAC ID: 9537119037 Enrollment ID: O20050701000310 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordyn Cooper, APRN 1401 Baptiste Dr Ste A, Paola, KS 66071-1888 Ph: (913) 294-2305 | Jordyn Cooper, APRN 1401 Baptiste Dr Ste A, Paola, KS 66071-1888 Ph: (913) 294-2305 |
Megen Male, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lakemary Dr, Paola, KS 66071 Phone: 913-557-4000 | |
Shana E Pedrow, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2102 Baptiste Drive, Paola, KS 66071 Phone: 913-557-5678 Fax: 913-557-5681 | |
Mrs. Renee Ruth Azzouz, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Lakemary Dr, Paola, KS 66071 Phone: 913-557-4000 Fax: 913-557-4900 | |
Mrs. Barbara Delynn Ford, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 E Miami St, Paola, KS 66071 Phone: 913-340-8600 | |
Nikita Rana, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25955 W 327th St, Paola, KS 66071 Phone: 913-557-9096 | |
Kari Alese Gaskell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1318 Kansas Dr, Paola, KS 66071 Phone: 913-557-5678 Fax: 913-557-5681 | |
Natalie Sue Ketzner, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1318 Kansas Dr, Paola, KS 66071 Phone: 913-557-5678 |