MS. STACY COOK – Physician Assistant, NPI 1770827628

MS. STACY COOK is a healthcare provider. based in Colorado springs, Colorado. specializing in PHYSICIAN ASSISTANT. The NPI Number for MS. STACY COOK is 1770827628

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MS. STACY COOK
NPI
1770827628
Phone
(719) 526-2092
Address
1650 COCHRANE CIR
Enumeration Date
15 November 2012
Last Update Date
27 February 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814964948
Graduation Year
2012 (14 years ago)
PAC ID
5193086536
Group Practice PAC ID
1951486406
Professional Enrollment ID
I20180228001726
Address ID
TX770774327HO2150X6XXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:13State licenses:0Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for MS. STACY COOK

  • 1650 COCHRANE CIR

    COLORADO SPRINGS, CO 809134613

    Phone: (719) 526-2092

    Type: Location

  • PO BOX 13518

    COLORADO SPRINGS, CO 809020518

    Phone: (757) 879-4352

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180228001726IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80913)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951486406View full group profile
NameSpecialtyState
Physician AssistantTX
Emergency Medicine, Internal MedicineTX
Emergency MedicineTX
-TX
Nurse PractitionerFL
Emergency MedicineDC
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does MS. STACY COOK have a public NPI I can cite?
Public records show MS. STACY COOK under NPI 1770827628.
Quick check: is MS. STACY COOK active?
Public NPPES data shows MS. STACY COOK with an active NPI status right now.
What type of care does MS. STACY COOK provide?
MS. STACY COOK's profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. STACY COOK?
MS. STACY COOK shows a connection to Colorado Springs, Colorado in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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