Zackary Dalton Coco, MNSC, APRN, PMHNP-BC
NPI 1194236935ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Little Rock, AR
Nurse Practitioner, Psych/Mental Health (MNSC, APRN, PMHNP-BC) with Coco Psychiatric Services PLLC, practicing in Little Rock, Arkansas. Their prescriptions cost Medicare Part D more than their services did: $93,359 for 761 claims, against $11,759 paid for services in 2024. Janssen Pharmaceuticals, Inc was the largest of 10 companies reporting payments in 2025, $957.88 in all, mostly food and beverage.
Overview
| NPI | 1194236935 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MNSC, APRN, PMHNP-BC |
| Sole proprietor | No |
| NPI issued | Oct 19, 2017 |
| Last updated in NPPES | May 4, 2025 |
| Certified by provider | May 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 120487 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 23 |
|---|---|
| Services billed | 234 across 5 procedure codes |
| Paid by Medicare | $11,759 |
Part D prescriptions in 2024
| Prescriptions (claims) | 761 · 926 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $93,359 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Coco Psychiatric Services PLLCLittle Rock, AR · 7 clinicians
Industry payments (Open Payments)
- 2025$957.88 · 26 payments from 10 companies
- 2024$509.83 · 24 payments from 9 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $353.31 | 5 |
| Iti, Inc. (D/B/A Intra-Cellular Therapies, Inc.) | $198.82 | 5 |
| Axsome Therapeutics, Inc. | $176.12 | 5 |
| Abbvie Inc. | $55.14 | 3 |
| Vanda Pharmaceuticals Inc. | $45.20 | 2 |
What the 2025 payments were for
- Food and Beverage$957.88 · 26 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 79 psychiatric nurse practitioners in Little Rock · All psychiatric nurse practitioners in Arkansas