Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003407867 Individual Practitioner Female Practitioner

Audrey Cooper

Physician Assistant • Tustin, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Audrey Cooper is a certified Physician Assistant practicing in Tustin, MI. With approximately 5 years of clinical experience since completing medical education in 2021, Audrey Cooper delivers high-quality medical care to the local community at 22560 130TH AVE.

Audrey Cooper is affiliated with Peterson Medical Clinics Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

22560 130th Ave

Tustin, MI 496888565

Telephone 2312061626

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tustin, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs Matches City Avg
City Avg: 5.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Tustin, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cooper (5 Years) 5 Yrs
Tustin Specialty Average (5.0 Years) 5.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Peterson Medical Clinics Llc

22560 130th Ave, Tustin, MI 496888565

Phone: 7012053000

Peterson Medical Clinics Llc

3674 S Washington St, Grand Forks, ND 582015766

Phone: 7012053000

Peterson Medical Clinics Llc

205 E Benson Blvd, Anchorage, AK 995034019

Phone: 7012053000

Peterson Medical Clinics Llc

519 Anne St Nw, Bemidji, MN 566014277

Phone: 7012053000

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location October 28, 2025

Registered at 22560 130TH AVE, TUSTIN, MI 496888565 (Tel: 2312061626)

📍
Updated Business Mailing Address October 28, 2025

Registered at 22560 130TH AVE, TUSTIN, MI 496888565

📍
Updated Practice Location June 18, 2024

Registered at 225 W CHURCH AVE, REED CITY, MI 496771264 (Tel: 2317917435)

📍
Updated Practice Location March 29, 2024

Registered at 338 W LINCOLN AVE, REED CITY, MI 496771116 (Tel: 2317917435)

📍
Updated Business Mailing Address March 29, 2024

Registered at 520 COBB ST, CADILLAC, MI 496012588 (Tel: 2318766527)

NPI Profile Active February 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2021

Registered at 583 VELOCE TRL, FORT MILL, SC 297157826 (Tel: 2312061626)

📍
Updated Business Mailing Address February 03, 2021

Registered at 583 VELOCE TRL, FORT MILL, SC 297157826 (Tel: 2312061626)

👤
Provider Name / Credentials Updated February 03, 2021

Recorded as AUDREY COOPER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration February 03, 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: 1003407867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2021
Last Update: October 28, 2025
Sole Proprietor: Yes

Mailing Address

22560 130th Ave

Tustin, MI 496888565

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.