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TRACE COOPER DO STUDENT
NPI 1326890096
Student in an Organized Health Care Education/Training Program in Meridian, ID

Active since April 04, 2024PECOS Enrolled
1401 E CENTRAL DR, MERIDIAN, ID 83642(208) 795-4266 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trace Cooper Do Student NPPES

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

TRACE COOPER DO STUDENT (NPI 1326890096) is an individual student in an organized health care education/training program in Meridian, Idaho and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326890096
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTRACE COOPERCredential: DO STUDENT
Location Address1401 E CENTRAL DRMeridian, ID 83642-8046
Mailing Address1401 E Central DrMeridian, ID 83642-8046
Phone(208) 795-4266
Sole ProprietorYes
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
✔ NPI 1326890096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1401 E CENTRAL DR, Meridian, ID 83642
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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 (PECOS)

Trace Cooper Do Student is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 16

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

JADEN HAWES
Student in an Organized Health Care Education/Training Program
1401 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 795-4381
MIRANDA ROBLEDO AMEZCUA MD
Student in an Organized Health Care Education/Training Program
1401 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (305) 954-1196
DR. GARRETT DEAN EVANS DO
Student in an Organized Health Care Education/Training Program
1401 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 795-4381
JOSHUA ERIC LUNDBERG MD, FAAFP
Family Medicine
1401 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 795-4357
ZACH HAVLOVICK MD
Student in an Organized Health Care Education/Training Program
1401 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 795-4381
AUSTIN JUNG
Student in an Organized Health Care Education/Training Program
1401 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 795-4381
BRANDON BENSON
Student in an Organized Health Care Education/Training Program
1401 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 795-4266
JAY M. CRUTCHFIELD MD FACS
Surgery
1401 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 795-4382

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 Trace Cooper's NPI number?

The NPI number for Trace Cooper is 1326890096. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Trace Cooper located?

Trace Cooper practices at 1401 E Central Dr, Meridian, ID 83642. The listed phone number is (208) 795-4266.

What is Trace Cooper's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Trace Cooper enrolled in Medicare?

Yes. Trace Cooper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Trace Cooper was last updated on April 4, 2024. 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.