MIKAYLA EMERALD COOPER RD
NPI 1518616374
Dietitian, Registered in Jacksonville Beach, FL

Active since March 21, 2022Accepts Medicare Assignment
4300 MARSH LANDING BLVD # 100, JACKSONVILLE BEACH, FL 32250(904) 947-0531 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mikayla Emerald Cooper Rd NPPES

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

MIKAYLA EMERALD COOPER RD (NPI 1518616374) is an individual dietitian, registered in Jacksonville Beach, Florida and active in the NPI registry since March 2022. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1518616374
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMIKAYLA EMERALD COOPERCredential: RD
Location Address4300 MARSH LANDING BLVD # 100Jacksonville Beach, FL 32250-1416
Mailing Address2626 W Perschon CirBluffdale, UT 84065-3743 · (801) 503-5549
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1518616374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4300 MARSH LANDING BLVD # 100, Jacksonville Beach, FL 32250

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

Mikayla Emerald Cooper Rd 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 ID6305355371
PECOS Enrollment IDI20250602001215

Medicare Billing Reassignment

Medicare enrollment records show Mikayla Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dietitian, Registered
6301 IVY LN STE 410
Greenbelt, MD 20770
  • Reassigned Medicare billing, District of Columbia enrollment
  • 20 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32250 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
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Mikayla Cooper's NPI number?

The NPI number for Mikayla Cooper is 1518616374. It was assigned to this individual provider in the NPPES registry on March 21, 2022.

Where is Mikayla Cooper located?

Mikayla Cooper practices at 4300 Marsh Landing Blvd # 100, Jacksonville Beach, FL 32250. The listed phone number is (904) 947-0531.

What is Mikayla Cooper's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mikayla Cooper enrolled in Medicare?

Yes. Mikayla 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 organization bills Medicare for Mikayla Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mikayla Cooper reassigns Medicare benefits to Rebecca Bitzer Ms Rd & Associates Inc (Greenbelt, MD). The 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 Mikayla Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mikayla Cooper was last updated on March 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.