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CARLY COOPER APRN
NPI 1063172617
Nurse Practitioner in Lake Forest, IL

Active since December 22, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045(847) 234-5600 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carly Cooper Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLY COOPER APRN (NPI 1063172617) is an individual nurse practitioner in Lake Forest, Illinois, licensed in Illinois (209021184) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063172617
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLY COOPERCredential: APRN
Location Address1000 N WESTMORELAND RDLake Forest, IL 60045-1658
Mailing Address1000 N Westmoreland Rd # Level1Lake Forest, IL 60045-1658 · (847) 534-3278 · Fax (847) 535-8590
Phone(847) 234-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 22, 2021
Last NPPES UpdateMarch 31, 2022
NPPES CertifiedMarch 31, 2022
✔ NPI 1063172617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209021184
Definition
(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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209021184 (IL)
1000 N WESTMORELAND RD, Lake Forest, IL 60045
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carly Cooper Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941695159
PECOS Enrollment IDI20220324000849
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
213 services174 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
51 services48 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CONSOLIDATED PATHOLOGY CONSULTANTS SC
Pathology (Anatomic Pathology & Clinical Pathology)
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 996-1030
JENNIFER M NGUYEN MD
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 234-5600
CAROLINE LANG OVERMAN PT, DPT
Physical Therapist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 535-6430
CASEY DUGAN PA-C
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 582-2134
MRS. TAYLOR MORGAN SARES PA-C
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 535-8500
DR. POOJA NAYAK MD
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 234-5600
ANDREW MIN JUN CHOI MD
Hospitalist
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 234-5600
IRENE ZHU PA-C
Physician Assistant
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045
Lake County (847) 535-7058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carly Cooper's NPI number?

The NPI number for Carly Cooper is 1063172617. It was assigned to this individual provider in the NPPES registry on December 22, 2021.

Where is Carly Cooper located?

Carly Cooper practices at 1000 N Westmoreland Rd, Lake Forest, IL 60045. The listed phone number is (847) 234-5600.

What is Carly Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carly Cooper enrolled in Medicare?

Yes. Carly Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Carly Cooper affiliated with any hospitals?

According to CMS data, Carly Cooper is affiliated with Northwestern Medicine Mchenry, Northwestern Lake Forest Hospital, Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carly Cooper was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.