MRS. LILY BETH COOPER AGACNP-BC
NPI 1922729730
Nurse Practitioner - Acute Care in San Jose, CA
About Mrs. Lily Beth Cooper Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LILY BETH COOPER AGACNP-BC (NPI 1922729730) is an individual acute care provider in San Jose, California, licensed in California (95022518) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Lily Beth Cooper Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lily Cooper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85020
- Reassigned Medicare billing, Arizona enrollment
- 28 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 95116 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.
SAN JOSE, CA 95116
SAN JOSE, CA 95116
SAN JOSE, CA 95116
SAN JOSE, CA 95116
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 Lily Cooper's NPI number?
The NPI number for Lily Cooper is 1922729730. It was assigned to this individual provider in the NPPES registry on September 9, 2022. The provider is also known as Ms. Lily Beth Mularz Agacnp-Bc.
Where is Lily Cooper located?
Lily Cooper practices at 225 N Jackson Ave, San Jose, CA 95116. The listed phone number is (224) 723-0339.
What is Lily Cooper's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Lily Cooper enrolled in Medicare?
Yes. Lily Cooper is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lily Cooper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lily Cooper reassigns Medicare benefits to Neurocritical Care And Stroke Of Arizona PLLC (Phoenix, AZ). 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 Lily 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 Lily Cooper was last updated on April 17, 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.
# Mrs. Lily Beth Cooper, AGACNP-BC · NPI 1922729730
Acute Care physician in San Jose, California. Individual provider, active in the CMS NPPES registry since September 9, 2022.
## Identity
- **NPI:** 1922729730 (Entity type: Individual)
- **Enumerated:** September 9, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95022518 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 225 N JACKSON AVE, San Jose, CA 95116-1603
- **Phone:** (224) 723-0339
## 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:** Neurocritical Care And Stroke Of Arizona PLLC (NPI 1649561580, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922729730) · Data from the CMS NPPES public registry.