KAYLEE ANN COOKE (PA-C) – Physician Assistant, NPI 1114435625

KAYLEE ANN COOKE (PA-C) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KAYLEE ANN COOKE (PA-C) is 1114435625

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KAYLEE ANN COOKE (PA-C)
NPI
1114435625
Phone
(513) 569-6117
Address
4685 FOREST AVE
Enumeration Date
18 January 2018
Last Update Date
23 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5132211100
Graduation Year
2017 (9 years ago)
PAC ID
1557621943
Group Practice PAC ID
9133013006
Professional Enrollment ID
I20180202001125
Address ID
OH452362725CI4777XRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

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Provider Addresses for KAYLEE ANN COOKE (PA-C)

  • Forest Avenue, Avondale, Cincinnati, Hamilton County, Ohio, 45229, United States

    CINCINNATI, OH 452123397

    Phone: (513) 569-6117

    Type: Mailing

  • Montgomery Road, O’Bryonville, Evanston, Cincinnati, Hamilton County, Ohio, 45207, United States

    CINCINNATI, OH 452362227

    Phone: (567) 277-3968

    Type: Location

  • 6130 Harrison Ave

    Cincinnati, OH 452477848

    Phone: (513) 221-1100

    Fax: (513) 451-4514

    Type: Location

  • PO BOX 643398

    CINCINNATI, OH 452643398

    Phone: (513) 221-1100

    Fax: (513) 684-4501

    Type: Mailing

  • 3825 EDWARDS RD STE 300

    CINCINNATI, OH 452091288

    Phone: (513) 221-1100

    Fax: (513) 684-4501

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-04-14 • Largest payer in this snapshot: ZIMVIE INC. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ZIMVIE INC.$23
View all Open Payments →|Open Payments Risk Radar →

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: 2018-02-02

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
I20180202001125IPhysician AssistantOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10893$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
99214Established patient office or other outpatient visit, 30-39 minutes3736$0
99204New patient office or other outpatient visit, 45-59 minutes3232$0
99441Telephone medical discussion with physician, 5-10 minutes2422$0
View full utilization report →

Insurance plans in this area (ZIP 45212)

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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: 9133013006View full group profile
NameSpecialtyState
N E U R O S U R G E R YOH
Physical Therapist In Private PracticeOH
-OH
-OH
N E U R O S U R G E R YOH
Nurse PractitionerOH
N E U R O S U R G E R YOH
Nurse PractitionerOH
N E U R O S U R G E R YOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Can I cross-check KAYLEE ANN COOKE (PA-C) using NPI 1114435625?
NPI 1114435625 belongs to KAYLEE ANN COOKE (PA-C); compare other details if you need extra assurance.
Would KAYLEE ANN COOKE (PA-C) appear as active to a payer?
You can treat KAYLEE ANN COOKE (PA-C) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe KAYLEE ANN COOKE (PA-C)'s focus?
For KAYLEE ANN COOKE (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KAYLEE ANN COOKE (PA-C) located near Cincinnati?
KAYLEE ANN COOKE (PA-C) currently maps to Cincinnati, Ohio in this extract.
Does KAYLEE ANN COOKE (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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