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Active NPI 1063172617 Individual Practitioner Female Practitioner

Carly Cooper , APRN

Nurse Practitioner • Lake Forest, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Carly Cooper, APRN is a certified Nurse Practitioner practicing in Lake Forest, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Carly Cooper delivers high-quality medical care to the local community at 1000 N WESTMORELAND RD.

Carly Cooper is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 N Westmoreland Rd

Lake Forest, IL 600451658

Telephone 8472345600
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lake Forest, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -1.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
40 Specialists

Practicing in Lake Forest, IL (4929 Statewide)

Telehealth Adoption Rate
37.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
70.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cooper (7 Years) 7 Yrs
Lake Forest Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
213 174 $434.00 $157.53
93000 Routine ekg using at least 12 leads including interpretation and report
51 48 $140.00 $12.60

Medical Specialties & State Licenses

CMS Verified: 2022-03-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209021184

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209021184

Definition to come...

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

600 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8475359510

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451673

Phone: 3129266146

Northwestern Medical Faculty Foundation

1200 N Westmoreland Rd, Lake Forest, IL 600451601

Phone: 8477358500

Northwestern Medical Faculty Foundation

1630 Sherman Ave, Evanston, IL 602013711

Northwestern Medical Faculty Foundation

350 S Waukegan Rd, Deerfield, IL 600155239

Phone: 3129266146

Northwestern Medical Faculty Foundation

660 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Northwestern Medical Faculty Foundation

870 N Milwaukee Ave, Vernon Hills, IL 600611521

Northwestern Medical Faculty Foundation

1000 N Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8475358500

Northwestern Medical Faculty Foundation

6155 Grand Ave, Gurnee, IL 600311651

Northwestern Medical Faculty Foundation

1000 Westmoreland Rd, Lake Forest, IL 600451659

Phone: 8472345600

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

350 S Waukegan, Deerfield, IL 600155239

Phone: 3129263107

Northwestern Medical Faculty Foundation

525 Rockland Rd, Lake Bluff, IL 600441778

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013108059

Doctor of Medicine (M.D.), Master of Business Administration, Master of Public Health

NPI 1013327758

Doctor of Medicine (M.D.)

Kaitlin Mastalerz , PA-C

Physician Assistant

NPI 1023404886

Physician Assistant (Certified)

NPI 1023696499

Doctor of Medicine (M.D.)

NPI 1043770175

Doctor of Medicine (M.D.)

NPI 1053758029

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address March 31, 2022

Registered at 1000 N WESTMORELAND RD # LEVEL1, LAKE FOREST, IL 600451658 (Tel: 8475343278)

NPI Profile Active December 22, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2021

Registered at 1000 N WESTMORELAND RD, LAKE FOREST, IL 600451658 (Tel: 8472345600)

📍
Updated Business Mailing Address December 22, 2021

Registered at 313 W WOLF POINT PLZ UNIT 704, CHICAGO, IL 606548902 (Tel: 2246286260)

👤
Provider Name / Credentials Updated December 22, 2021

Recorded as CARLY COOPER, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2021

Nurse Practitioner (License #209021184 in IL)

🟢
Initial NPI Registration & Enumeration December 22, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063172617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2021
Last Update: March 31, 2022
Sole Proprietor: No

Mailing Address

1000 N Westmoreland Rd # Level1

Lake Forest, IL 600451658

Phone: 8475343278

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.