Audrey Cooper
Audrey Cooper is a Physician Assistant in Tustin, Michigan. Qualified in 2021, 5 years ago. Practices with Peterson Medical Clinics LLC, a 89-clinician group, accepts Medicare assignment and offers telehealth.
- Years since qualifying
- 5
- In the registry since
- 2021
Practice location Address checks out
22560 130th AveTustin, MI 49688-8565
Phone: (231) 206-1626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1003407867 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 3, 2021 |
| Last updated in NPPES | October 28, 2025 |
| Certification date | October 28, 2025 |
| Mailing address | 22560 130th Ave, Tustin, MI 49688-8565 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Peterson Medical Clinics Llc — 89 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 5 on file with Medicare |
Other providers in Tustin
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Amanda K Nixon Pa-C PC
202 S Howard St, Tustin, MI 49688-5123 · (231) 465-4165