MARY COOPER CRNA
NPI 1154846707
Nurse Anesthetist, Certified Registered in Quincy, IL

Q: What is Mary Cooper's NPI number?

The NPI number for Mary Cooper is 1154846707. It was assigned to this individual provider in the NPPES registry on August 4, 2017.

Q: What is Mary Cooper's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Cooper was last updated on July 21, 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.

Active since August 04, 2017Accepts Medicare Assignment

3301 BROADWAY ST, QUINCY, IL 62301(217) 277-4090(217) 277-6778 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Nov 26, 2021, Oct 28, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Mary Cooper Crna NPPES

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

MARY COOPER CRNA (NPI 1154846707) is an individual nurse anesthetist, certified registered in Quincy, Illinois, licensed in Illinois (209024241) and active in the NPI registry since August 2017. She maintains a secondary practice location in Winston Salem and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154846707

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMARY COOPERCredential: CRNA

Location Address3301 BROADWAY STQuincy, IL 62301-3713

Mailing Address3301 Broadway StQuincy, IL 62301-3713 · (217) 277-4090 · Fax (217) 277-6778

Phone(217) 277-4090

Fax(217) 277-6778

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 4, 2017

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedNovember 26, 2021

✔ NPI 1154846707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in IL · 209024241✔ Licensed in NC · 280593

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3301 BROADWAY ST, Quincy, IL 62301

Open in Google Maps ↗

Secondary Practice Location 1

Location 1145 Kimel Park Dr Ste 120Winston Salem, NC 27103-6983 · Phone (336) 768-3212 · Fax (336) 768-9019

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

Mary Cooper Crna 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 ID6103192745

PECOS Enrollment IDI20211110000509

Areas of Expertise CMS Part B claims

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.

Anesthesia for lens surgery 00142

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

80 services76 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Leave this field empty

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.

QUINCY PHYSICIANS & SURGEONS CLINIC, PLCC

Clinic/Center (Birthing)