Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Charles Cooper, AGACNP

Individual provider Nurse Practitioner · NPI 1366951998

Kevin Charles Cooper, AGACNP is a Nurse Practitioner in Rochester, New York. Qualified in 2017, 9 years ago. Practices with University Cardiothoracic Surgery Group, a 20-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 431186 (NY)
Nurse Practitioner Taxonomy 363L00000X · Licence 431186 (NY)

Record details

NPI number1366951998
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESJune 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice University Cardiothoracic Surgery Group — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rochester