Individual provider Active NPI

Seth Alden Cookerly, PA-C

  • Medical Physician Assistant
  • Perkins, OK
National Provider Identifier
1245577659
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2209 Issued in OK
Practice address
509 E Highway 33
Perkins, OK 74059-4129
Phone
(405) 547-2473
Fax
(405) 547-2925
NPI assigned
Jan 7, 2013
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2209 OK Primary

Addresses

Primary practice location

509 E Highway 33
Perkins, OK 74059-4129

Mailing address

PO Box 460
Perkins, OK 74059-0460
Phone (405) 547-2473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130328000517 OK Practitioner - Physician Assistant 6204071962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Tribe of OklahomaGroup PAC ID 4880675768, 10 clinicians

Practice addresses (Care Compare)

509 E Hwy 33
Perkins, OK 74059-4129
Phone (405) 547-2473

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2209OKMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Wellness Fairfax Inc Current Accepting new patients

Locations

40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1245577659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "PERKINS",
            "state": "OK",
            "postal_code": "740590460",
            "telephone_number": "405-547-2473",
            "fax_number": "405-547-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E HIGHWAY 33",
            "city": "PERKINS",
            "state": "OK",
            "postal_code": "740594129",
            "telephone_number": "405-547-2473",
            "fax_number": "405-547-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKERLY",
        "first_name": "SETH",
        "middle_name": "ALDEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perkins, OK

Sources for this page

Verify at the official NPI Registry.