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MISS TAMMY LYVONNE COOPER APN-C
NPI 1720109846
Nurse Practitioner - Adult Health in Germantown, MD

Active since April 03, 2007PECOS Enrolled
12522 GREAT PARK CIR #303, GERMANTOWN, MD 20876(240) 301-4866 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2023, Jun 23, 2023 (2 updates tracked since 2023).

About Miss Tammy Lyvonne Cooper Apn-c NPPES

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

MISS TAMMY LYVONNE COOPER APN-C (NPI 1720109846) is an individual adult health provider in Germantown, Maryland, licensed in New Jersey (26NJ00372800) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720109846
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMISS TAMMY LYVONNE COOPERCredential: APN-C
Location Address12522 GREAT PARK CIR #303Germantown, MD 20876
Mailing AddressPo Box 2718Germantown, MD 20875-2718 · (240) 301-4866 · Fax (848) 213-0287
Phone(240) 301-4866
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1720109846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in NJ · 26NJ00372800✔ Licensed in MD · R233355✔ Licensed in DC · NP500005960
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 26NR11441600 (NJ)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 26NR11441600 (NJ)

Other Identifiers 1

Medicaid0325279NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Tammy Lyvonne Cooper Apn-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tammy Cooper reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cpc Integrated Health, Inc.
Mental Health (Including Community Mental Health Center)
270 ROUTE 35
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Cpc Behavioral Healthcare Inc
  • 99 clinicians in this Medicare group
NPI 1366497356 (732) 842-2000
Primecare Medicine PA
Internal Medicine
9801 GEORGIA AVE, SUITE 224
Silver Spring, MD 20902
  • Reassigned Medicare billing, District of Columbia enrollment
  • 15 clinicians in this Medicare group
NPI 1245327881 (301) 593-9800

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 20876 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Tammy Cooper's NPI number?

The NPI number for Tammy Cooper is 1720109846. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Tammy Cooper located?

Tammy Cooper practices at 12522 Great Park Cir #303, Germantown, MD 20876. The listed phone number is (240) 301-4866.

What is Tammy Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tammy Cooper enrolled in Medicare?

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

Which organizations bill Medicare for Tammy Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Cooper reassigns Medicare benefits to 2 organizations: Cpc Integrated Health, Inc. (Red Bank, NJ) and Primecare Medicine PA (Silver Spring, MD). 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 Tammy 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 Tammy Cooper was last updated on December 21, 2023. 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.