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MELINDA MARIE COOPER FNP
NPI 1417629403
Nurse Practitioner - Family in Hagerstown, MD

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment
1741 DUAL HWY, HAGERSTOWN, MD 21740(301) 337-7749 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2025, May 15, 2024, Sep 29, 2021 (3 updates tracked since 2021).

About Melinda Marie Cooper Fnp NPPES

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

MELINDA MARIE COOPER FNP (NPI 1417629403) is an individual family provider in Hagerstown, Maryland, licensed in Maryland (AC005797) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417629403
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELINDA MARIE COOPERCredential: FNP
Location Address1741 DUAL HWYHagerstown, MD 21740-6624
Mailing Address11217 Karli LnBiloxi, MS 39532-8026 · (228) 257-9289
Phone(301) 337-7749
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2021
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1417629403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MD · AC005797✔ Licensed in VA · 0024188012✔ Licensed in WV · 117249✔ Licensed in PA · PA066069✔ Licensed in MA · RN2386999✔ Licensed in MS · 904864
1741 DUAL HWY, Hagerstown, MD 21740
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Other Identifiers 1

Medicaid1417629403MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Melinda Marie Cooper Fnp 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 ID7113325036
PECOS Enrollment IDI20250718002392
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Melinda Cooper reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medexpress Urgent Care, PC - Pennsylvania
22 mi
Urgent Care
1048 LINCOLN WAY E, SUITE 101
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 214 clinicians in this Medicare group
NPI 1780980953 (717) 267-2273
Medexpress Urgent Care, PC - Virginia
38 mi
Urgent Care
207 GATEWAY DRIVE
Winchester, VA 22603
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1386989689 (540) 535-1029
Crh MD Management LLC
48 mi
Urgent Care
11804 REISTERSTOWN RD
Reisterstown, MD 21136
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 105 clinicians in this Medicare group
NPI 1598435059 (410) 870-5094
Peachtree Immediate Care Fp, LLC
556 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900
Fast Pace Mississippi, PLLC
706 mi
Rural Health
517 CITY AVE S
Ripley, MS 38663
  • Reassigned Medicare billing, Mississippi enrollment
  • 463 clinicians in this Medicare group
NPI 1447769559 (662) 587-8206

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 10

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services101 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
80 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
66 services66 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
51 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

Other Providers at the Same Location NPPES 4

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

KIMBERLY CHRISTINE LAWSON FNP-C
Nurse Practitioner (Family)
1741 DUAL HWY
HAGERSTOWN, MD 21740
Washington County (301) 790-0254
LYNNA LYNN CHESNEY PA-C
Physician Assistant
1741 DUAL HWY
HAGERSTOWN, MD 21740
Washington County (301) 790-0254
MEGAN POLANSKY HOFBAUER PA-C
Physician Assistant
1741 DUAL HWY, SUITE A
HAGERSTOWN, MD 21740
Washington County (301) 790-0254
CRH MD MANAGEMENT, LLC
Clinic/Center (Urgent Care)
1741 DUAL HWY
HAGERSTOWN, MD 21740
Washington County (301) 790-0254

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 Melinda Cooper's NPI number?

The NPI number for Melinda Cooper is 1417629403. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Melinda Cooper located?

Melinda Cooper practices at 1741 Dual Hwy, Hagerstown, MD 21740. The listed phone number is (301) 337-7749.

What is Melinda Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melinda Cooper enrolled in Medicare?

Yes. Melinda 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 Melinda Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Cooper reassigns Medicare benefits to 5 organizations: Medexpress Urgent Care, PC - Pennsylvania (Chambersburg, PA), Medexpress Urgent Care, PC - Virginia (Winchester, VA), Crh MD Management LLC (Reisterstown, MD), Peachtree Immediate Care Fp, LLC (Hiram, GA) and Fast Pace Mississippi, PLLC (Ripley, MS). 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 Melinda Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Cooper accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee list Melinda 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 Melinda Cooper was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.