Active NPI
Anna M Cook, PA-C
- Surgical Physician Assistant
- Mansfield, OH
National Provider Identifier
1295704062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 50001210
- Practice address
- 370 Cline Ave
Mansfield, OH 44907-1057 - Phone
- (419) 756-0011
- Fax
- (419) 756-9279
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50001210 | OH | Primary |
Addresses
Primary practice location
370 Cline Ave
Mansfield, OH 44907-1057
Mailing address
370 Cline Ave
Mansfield, OH 44907-1057
Phone (419) 756-0011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50-00-1210 | Other | OH | STATE PHYS. ASSIST. REG.# |
| 1039089 | Other | NCCPA ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505
715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50001210 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medcentral Professional Association Inc. | Past | Accepting new patients | |
| Bucyrus Community Hospital LLC | Past | Accepting new patients | |
| Medcentral Professional Foundation, LLC | Past | Accepting new patients | |
| CRB of Ohio, Inc | Past | Accepting new patients |
Interoperability endpoints
- acook539874@direct.osumc.edu
Organizations & group practices 5
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.
-
- Specialist
- Galion, OH
- NPI 1689822827
-
- Critical Access Hospital
- Bucyrus, OH
- NPI 1629372461
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Columbus, OH
- NPI 1952345787
-
- Anesthesiology Physician
- Mansfield, OH
- NPI 1306878863
-
- Facial Plastic Surgery Physician
- Mansfield, OH
- NPI 1841476942
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ontario, OH
- NPI 1790131050
-
- Critical Access Hospital
- Bucyrus, OH
- NPI 1104914274
-
- Critical Access Hospital
- Galion, OH
- NPI 1215907522
-
- General Acute Care Hospital
- Ashland, OH
- NPI 1902882939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295704062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 CLINE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071057",
"telephone_number": "419-756-0011",
"fax_number": "419-756-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 CLINE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071057",
"telephone_number": "419-756-0011",
"fax_number": "419-756-9279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ANNA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50001210",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHYS. ASSIST. REG.#",
"identifier": "50-00-1210",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA ID NUMBER",
"identifier": "1039089",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
- Connecting Hemispheres Behavioral Health LLC
- Lauren Elise Conrad, MS, CCC-SLP
- Elizabeth Constance, BA
- Constellation Schools: Mansfield Community Elementary
- Constellation Schools: Mansfield Community Middle
- Kevin Ryan Cook, PHARMD
- Chelsea Cooke
- Sequoya Cooke
- Alison Marie Coole, RD,LD
- Crystal Lee Cooper, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.