NPIMap

Individual provider Active NPI

Kaylee Ann Cooke, PA-C

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1114435625
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288
Phone
(513) 221-1100
Fax
(513) 684-4501
NPI assigned
Jan 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288

Mailing address

PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100

Other practice location 1

6130 Harrison Ave
Cincinnati, OH 45247-7848
Phone (513) 221-1100

Other names 1

  • Kaylee Draper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180202001125 OH Practitioner - Physician Assistant 1557621943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mayfield Clinic IncGroup PAC ID 9133013006, 74 clinicians

Practice addresses (Care Compare)

10500 Montgomery Rd
Cincinnati, OH 45242-4402
Phone (513) 221-1100

2139 Auburn Ave
Cincinnati, OH 45219-2906
Phone (513) 221-1100

375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 221-1100

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 221-1100

6130 Harrison Ave
Cincinnati, OH 45247-7848
Phone (513) 221-1100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Clinic Inc Physician Assistant CurrentSince Mar 22, 2021 Accepting new patients
Mayfield Clinic Inc CurrentSince Mar 22, 2021 Accepting new patients

Locations

6130 Harrison Ave
Cincinnati, OH 45247

3825 Edwards Rd
Ste 300
Cincinnati, OH 45209

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

Interoperability endpoints

  • Direct secure messaging: kcooke@1241.direct.myezyaccess.com
  • Direct secure messaging: kaylee.cooke@mayfield.eclinicaldirectplus.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1114435625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643398",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452643398",
            "telephone_number": "513-221-1100",
            "fax_number": "513-684-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 EDWARDS RD STE 300",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091288",
            "telephone_number": "513-221-1100",
            "fax_number": "513-684-4501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6130 Harrison Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452477848",
            "country_code": "US",
            "telephone_number": "513-221-1100",
            "fax_number": "513-451-4514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "KAYLEE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEE",
            "last_name": "DRAPER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.