HEATHER ANN COOPER PA-C
NPI 1740614262
Physician Assistant - Medical in Gilbert, AZ

Q: What is Heather Cooper's NPI number?

The NPI number for Heather Cooper is 1740614262. It was assigned to this individual provider in the NPPES registry on September 3, 2013. The provider is also known as Heather Ann Moody Pa-C.

Q: What is Heather Cooper's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Heather Cooper was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 03, 2013PECOS EnrolledAccepts Medicare Assignment

81 W GUADALUPE RD STE 111, GILBERT, AZ 85233(480) 366-4490(480) 854-3618 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heather Ann Cooper Pa-c NPPES

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

HEATHER ANN COOPER PA-C (NPI 1740614262) is an individual medical provider in Gilbert, Arizona, licensed in Arizona (5460) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2013).

NPPES Registry Identity

NPI1740614262

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameHEATHER ANN COOPERCredential: PA-C

Location Address81 W GUADALUPE RD STE 111Gilbert, AZ 85233-3321

Mailing Address81 W Guadalupe Rd,, Ste 111Gilbert, AZ 85233 · (480) 366-4490 · Fax (480) 854-3618

Phone(480) 366-4490

Fax(480) 854-3618

Sole ProprietorNo

Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2013

Enumeration DateSeptember 3, 2013

Last NPPES UpdateSeptember 14, 2016

✔ NPI 1740614262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 5460

81 W GUADALUPE RD STE 111, Gilbert, AZ 85233

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Other Names 1

Former Name (1)Heather Ann Moody Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Ann Cooper Pa-c 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 ID8123252632

PECOS Enrollment IDI20190320000405

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.

Other Providers at the Same Location NPPES 7

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

VALERIE JACOVIDES RN,MSN,FNP-C

Nurse Practitioner (Family)