CHASITY IMANI COOPER
NPI 1619652112
Nurse Practitioner - Psychiatric/Mental Health in Panama City, FL

Q: What is Chasity Cooper's NPI number?

The NPI number for Chasity Cooper is 1619652112. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Q: What is Chasity Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Chasity Cooper was last updated on April 2, 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.

Active since June 21, 2023PECOS EnrolledAccepts Medicare Assignment

525 E 15TH ST, PANAMA CITY, FL 32405(850) 522-4485(850) 257-7938 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2024, Jun 21, 2023 (2 updates tracked since 2023).

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About Chasity Imani Cooper NPPES

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

CHASITY IMANI COOPER (NPI 1619652112) is an individual psychiatric/mental health provider in Panama City, Florida, licensed in Florida (APRN11026964) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1619652112

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCHASITY IMANI COOPER

Location Address525 E 15TH STPanama City, FL 32405-5400

Mailing Address304 Montclair DrDothan, AL 36301-2933 · (334) 790-8439

Phone(850) 522-4485

Fax(850) 257-7938

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 21, 2023

Last NPPES UpdateApril 2, 20242 updates tracked since enumeration

NPPES CertifiedApril 2, 2024

✔ NPI 1619652112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · APRN11026964

525 E 15TH ST, Panama City, FL 32405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Chasity Imani Cooper 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 ID1759730187

PECOS Enrollment IDI20231211003685

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 Reassignment

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

Life Management Center Of NW Fl, Inc.

Same address

Psychiatry

525 EAST 15TH STREET
Panama City, FL 32405

Reassigned Medicare billing, Florida enrollment
27 clinicians in this Medicare group

NPI 1508854571 (850) 522-4485

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

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 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.

37 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

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.

LIFE MANAGEMENT CENTER OF NW FL, INC.

Community/Behavioral Health