CARLY COOPER
NPI 1144949405
Physician Assistant in Warrenville, IL

Q: What is Carly Cooper's NPI number?

The NPI number for Carly Cooper is 1144949405. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Q: What is Carly Cooper's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Carly Cooper was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since August 22, 2022PECOS EnrolledAccepts Medicare Assignment

4405 WEAVER PKWY, WARRENVILLE, IL 60555(630) 352-5450(630) 933-4959 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2025, Aug 22, 2022 (2 updates tracked since 2022).

On this page

About Carly Cooper NPPES

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

CARLY COOPER (NPI 1144949405) is an individual physician assistant in Warrenville, Illinois, licensed in Illinois (085.010051) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1144949405

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCARLY COOPER

Location Address4405 WEAVER PKWYWarrenville, IL 60555-3269

Mailing Address4405 Weaver PkwyWarrenville, IL 60555-3269 · (630) 352-5450 · Fax (630) 933-4959

Phone(630) 352-5450

Fax(630) 933-4959

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 22, 2022

Last NPPES UpdateNovember 14, 20252 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1144949405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.010051

Definition

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.

4405 WEAVER PKWY, Warrenville, IL 60555

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1304 Randall RdGeneva, IL 60134-4200 · Phone (630) 232-0610 · Fax (630) 232-0675

Location 225 N Winfield Rd Ste 2202Winfield, IL 60190-1379 · Phone (630) 352-5450 · Fax (630) 933-4959

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 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 ID4183071673

PECOS Enrollment IDI20231105000003

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.

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140211

Location300 Randall RdGeneva, IL 60134 · Kane 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60555 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

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. DOUGLAS B TIPPIN M.D., PHD

Radiology (Radiation Oncology)