CHARLES DERICK COOPER NP
NPI 1124728779
Nurse Practitioner in Gun Barrel City, TX
About Charles Derick Cooper Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLES DERICK COOPER NP (NPI 1124728779) is an individual nurse practitioner in Gun Barrel City, Texas, licensed in Texas (1112062) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Charles Derick Cooper Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Charles Cooper reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Princeton, TX 75407
- Reassigned Medicare billing, Texas enrollment
- 186 clinicians in this Medicare group
Dallas, TX 75246
- Reassigned Medicare billing, Texas enrollment
- 1,044 clinicians in this Medicare group
Gainesville, TX 76240
- Reassigned Medicare billing, Texas enrollment
- 1,193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75156 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Charles Cooper's NPI number?
The NPI number for Charles Cooper is 1124728779. It was assigned to this individual provider in the NPPES registry on March 2, 2023.
Where is Charles Cooper located?
Charles Cooper practices at 126 W Main St, Gun Barrel City, TX 75156. The listed phone number is (903) 887-1092.
What is Charles Cooper's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Charles Cooper enrolled in Medicare?
Yes. Charles 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.
Which organizations bill Medicare for Charles Cooper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Cooper reassigns Medicare benefits to 3 organizations: Dcs Medical PA (Princeton, TX), Century Integrated Partners, Inc (Dallas, TX) and Acs Primary Care Physicians Southwest, PA (Gainesville, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Cooper accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Charles Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Charles Cooper was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Charles Derick Cooper, NP · NPI 1124728779
Nurse Practitioner physician in Gun Barrel City, Texas. Individual provider, active in the CMS NPPES registry since March 2, 2023.
## Identity
- **NPI:** 1124728779 (Entity type: Individual)
- **Enumerated:** March 2, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 1112062 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 126 W MAIN ST, Gun Barrel City, TX 75156-5403
- **Phone:** (903) 887-1092
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Dcs Medical PA (NPI 1285082768, Princeton, TX); Century Integrated Partners, Inc (NPI 1447615711, Dallas, TX); Acs Primary Care Physicians Southwest, PA (NPI 1538101019, Gainesville, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124728779) · Data from the CMS NPPES public registry.