KATHY NICOLE COOLEY (P.A.) – Physician Assistant, NPI 1710176946
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
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Provider Addresses for KATHY NICOLE COOLEY (P.A.)
36115, Schoolcraft Road, Livonia, Wayne County, Michigan, 48150, United States
LIVONIA, MI 481501216
Phone: (734) 464-0887
Fax: (734) 402-0254
Type: Mailing
21409, Kelly Road, Eastpointe, Macomb County, Michigan, 48021, United States
SUITE 400
EASTPOINTE, MI 480213264
Phone: (586) 777-0630
Fax: (586) 777-0631
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 134 Open Payments records for all available years, with a total value of $2,390.
Total Amount is formed as General ($2,390) + Research ($0) + Ownership ($0) = $2,390.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($875).
Total Amount
$2,390
General + Research + Ownership
Payments
134
Total payment records
General Amount
$2,390
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $875 |
| IRONWOOD PHARMACEUTICALS, INC | $361 |
| Otsuka America Pharmaceutical, Inc. | $310 |
| USWM, LLC | $172 |
| GlaxoSmithKline, LLC. | $130 |
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: 2011-10-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111017000766 | I | Physician Assistant | MI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 460 | 100 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 92 | 26 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 59 | 17 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 55 | 17 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 11 | 11 | $0 |
Insurance plans in this area (ZIP 48150)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Family Practice, Geriatric Medicine | MI | |
| Nurse Practitioner | MI | |
| - | MI |
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