Individual provider Active NPI

Alexis Nicole Cook, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1528751302
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA064616 Issued in PA
Practice address
1400 Locust St
Pittsburgh, PA 15219-5114
Phone
(412) 232-8375
NPI assigned
May 30, 2023
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA064616 PA Primary
Medical Physician Assistant 363AM0700X MA064616 PA

Addresses

Primary practice location

1400 Locust St
Pittsburgh, PA 15219-5114

Mailing address

503 Equestrian Way
Mount Pleasant, PA 15666-3423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230922000117 PA Practitioner - Physician Assistant 1850745019 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DV Professional Group PLLCGroup PAC ID 9638613425, 2 clinicians

Practice addresses (Care Compare)

4318 Northern Pike
Suite 203
Monroeville, PA 15146-2846
Phone (412) 683-2267

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Merit-based Incentive Payment System (MIPS)

Final score
64.81 of 100Reported as group
Quality
42.46
Improvement activities
40
Cost
76.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA064616PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DV Professional Group PLLC CurrentSince Dec 1, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 24, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 24, 2023 Accepting new patients
Oncology Hematology Association Inc CurrentSince Jul 24, 2023 Accepting new patients
Oncology Hematology Association CurrentSince Jul 24, 2023 Accepting new patients

Locations

4318 Northern Pike
Ste 203
Monroeville, PA 15146
Phone (412) 206-1158

1400 Locust St
Pittsburgh, PA 15219
Phone (412) 232-7911

2 Hot Metal St
Ste 1
Pittsburgh, PA 15203

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1528751302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 EQUESTRIAN WAY",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156663423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195114",
            "telephone_number": "412-232-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA064616",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.