Shane Aldon Cooper, APRN
NPI 1053910927ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Camden, NJ
Nurse Practitioner, Psych/Mental Health (APRN) with Cmc Psychiatric Associates PC, practicing in Camden, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $55,312 for 969 claims, against $14,054 paid for services in 2024.
Overview
| NPI | 1053910927 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Oct 22, 2020 |
| Last updated in NPPES | Nov 30, 2020 |
| Certified by provider | Nov 30, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 26NJ01084900 | NJ |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | 26NR21076200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 165 across 4 procedure codes |
| Paid by Medicare | $14,054 |
Part D prescriptions in 2024
| Prescriptions (claims) | 969 · 1,444 30-day fills |
|---|---|
| Patients | 92 |
| Total drug cost | $55,312 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Cmc Psychiatric Associates PCCamden, NJ · 40 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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