Individual provider Active NPI

Miranda Cook, PA-C

  • Physician Assistant
  • Wheeling, WV
National Provider Identifier
1740884576
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2602 Warwood Ave
Wheeling, WV 26003-7255
Phone
(412) 719-4615
NPI assigned
Nov 23, 2020
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2602 Warwood Ave
Wheeling, WV 26003-7255

Mailing address

2602 Warwood Ave
Wheeling, WV 26003-7255
Phone (412) 719-4615

Other practice location 1

215 Lafayette Ave
Moundsville, WV 26041-1032
Phone (304) 845-3435

Other practice location 2

1451 W Main St
Troy, OH 45373-2570
Phone (937) 335-3100

Other practice location 3

9150 N Main St Ste 100
Englewood, OH 45415-1123
Phone (937) 771-3039

Other practice location 4

201 E Ash St
Piqua, OH 45356-2401
Phone (937) 381-5094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220127001242 WV Practitioner - Physician Assistant 8123410925 Reassigns benefits to 1 organization
I20240912001882 OH Practitioner - Physician Assistant 8123410925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2524WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Memorial Hospital, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Reynolds Memorial Hospital, Inc CurrentSince Jan 1, 2022 Accepting new patients
Urgent Care Specialists, LLC PastSince Apr 28, 2024 Accepting new patients
Quick Med Urgent Care LLC Past Accepting new patients

Locations

800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520

215 Lafayette Ave
Moundsville, WV 26041
Phone (304) 843-3435

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1576/brand/1/csg/22/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19801/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mcook210060@direct.wvuhsdirect.com

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, 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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1740884576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 WARWOOD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260037255",
            "telephone_number": "412-719-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 WARWOOD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260037255",
            "telephone_number": "412-719-4615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Lafayette Ave",
            "address_purpose": "LOCATION",
            "city": "Moundsville",
            "state": "WV",
            "postal_code": "260411032",
            "country_code": "US",
            "telephone_number": "304-845-3435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 W Main St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453732570",
            "country_code": "US",
            "telephone_number": "937-335-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9150 N Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151123",
            "country_code": "US",
            "telephone_number": "937-771-3039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Ash St",
            "address_purpose": "LOCATION",
            "city": "Piqua",
            "state": "OH",
            "postal_code": "453562401",
            "country_code": "US",
            "telephone_number": "937-381-5094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MIRANDA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.