CRYSTAL MARIE COOPER AGPCNP
NPI 1609566413
Nurse Practitioner - Primary Care in Shenandoah, TX
About Crystal Marie Cooper Agpcnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRYSTAL MARIE COOPER AGPCNP (NPI 1609566413) is an individual primary care provider in Shenandoah, Texas, licensed in Texas (1126708) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crystal Marie Cooper Agpcnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Crystal Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingwood, TX 77339
- Reassigned Medicare billing, Texas enrollment
- 2 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 77380 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHENANDOAH, TX 77380
SHENANDOAH, TX 77380
SHENANDOAH, TX 77380
SHENANDOAH, TX 77380
SHENANDOAH, TX 77380
SHENANDOAH, TX 77380
SHENANDOAH, TX 77380
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 Crystal Cooper's NPI number?
The NPI number for Crystal Cooper is 1609566413. It was assigned to this individual provider in the NPPES registry on May 15, 2023.
Where is Crystal Cooper located?
Crystal Cooper practices at 920 Medical Plaza Dr, Shenandoah, TX 77380. The listed phone number is (713) 936-2966.
What is Crystal Cooper's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Crystal Cooper enrolled in Medicare?
Yes. Crystal Cooper is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Crystal Cooper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Cooper reassigns Medicare benefits to Srinivas R Panja MD PA (Kingwood, TX). 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 Crystal 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 Crystal Cooper was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Crystal Marie Cooper, AGPCNP · NPI 1609566413
Primary Care physician in Shenandoah, Texas. Individual provider, active in the CMS NPPES registry since May 15, 2023.
## Identity
- **NPI:** 1609566413 (Entity type: Individual)
- **Enumerated:** May 15, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 1126708 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 920 MEDICAL PLAZA DR, Shenandoah, TX 77380-3260
- **Phone:** (713) 936-2966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Srinivas R Panja MD PA (NPI 1407151467, Kingwood, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1609566413) · Data from the CMS NPPES public registry.