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Active NPI 1649889205 Individual Practitioner Male Practitioner

Cody Edward Cooper , CRNP

Nurse Practitioner • Williamsport, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Cody Cooper, CRNP is a certified Nurse Practitioner practicing in Williamsport, PA. With approximately 6 years of clinical experience since completing medical education in 2020, Cody Cooper delivers high-quality medical care to the local community at 740 HIGH ST STE 1003.

Cody Cooper maintains professional affiliations with Susquehanna Physician Services, Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, injection, triamcinolone acetonide, not otherwise specified, 10 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

740 High St Ste 1003

Williamsport, PA 177013102

Telephone 5703213160
Fax 5703213161
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Williamsport, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -1.8 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
65 Specialists

Practicing in Williamsport, PA (3955 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
96.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cooper (6 Years) 6 Yrs
Williamsport Specialty Average (7.8 Years) 7.8 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
27447 Replacement of knee joint, both sides of knee
12 12 $4300.51 $172.92

Medical Specialties & State Licenses

CMS Verified: 2020-07-31
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License PA SP022138

(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.

Hospital & Practice Group Affiliations

Susquehanna Physician Services

1705 Warren Ave, Williamsport, PA 177012647

Phone: 5703212020

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Susquehanna Physician Services

740 High St, Williamsport, PA 177013102

Phone: 5703213160

Practice Associates & Co-Workers

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

9 Associated Practitioners
Megan West , PA-C

Physician Assistant

NPI 1033629233

Physician Assistant (Certified)

Michael Pearl

Physician Assistant

NPI 1154891364
Kaeli Newcomb , CRNP

Nurse Practitioner

NPI 1164298733

Certified Registered Nurse Practitioner

Sean O'brien

Physician Assistant - Medical

NPI 1205379310
NPI 1356318497
Celeste Martin , PA-C

Physician Assistant

NPI 1679982417

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2020

Registered at 740 HIGH ST STE 1003, WILLIAMSPORT, PA 177013102 (Tel: 5703213160)

📍
Updated Business Mailing Address July 31, 2020

Registered at 1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 177011900 (Tel: 5703268723)

👤
Provider Name / Credentials Updated July 31, 2020

Recorded as CODY COOPER, CRNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2020

Nurse Practitioner (License #SP022138 in PA)

🟢
Initial NPI Registration & Enumeration July 29, 2020

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: 1649889205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2020
Last Update: July 31, 2020
Sole Proprietor: No

Mailing Address

1201 Grampian Blvd

Williamsport, PA 177011900

Phone: 5703268723

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.