Individual provider Active NPI

Priscylla Cook, DMS, PA-C

  • Medical Physician Assistant
  • Orlando, FL
National Provider Identifier
1750012779
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9118283 Issued in FL
Practice address
12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone
(407) 535-1313
Fax
(407) 778-1479
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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 PA9118283 FL Primary

Addresses

Primary practice location

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802

Mailing address

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone (407) 591-1076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240701004006 FL Practitioner - Physician Assistant 3678017654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vip Health Assistance LLCGroup PAC ID 3678962008, 4 clinicians

Practice addresses (Care Compare)

12139 S Apopka Vineland Rd
Orlando, FL 32836-6802
Phone (407) 730-9911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA9118283FLMDMedical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1750012779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12139 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366802",
            "telephone_number": "407-591-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12139 S APOPKA VINELAND RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366802",
            "telephone_number": "407-535-1313",
            "fax_number": "407-778-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "PRISCYLLA",
        "name_prefix": "Mrs.",
        "credential": "DMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9118283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.