Active NPI
Kelly Christine Cook
- Physician Assistant
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60328
- Practice address
- 5201 Truxtun Ave
Bakersfield, CA 93309-0421 - Phone
- (661) 328-5565
- NPI assigned
- Sep 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60328 | CA | |
| Physician Assistant | 363A00000X | PA60328 | CA | Primary |
Addresses
Primary practice location
5201 Truxtun Ave
Bakersfield, CA 93309-0421
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other names 1
- Kelly Christine Wilkins
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- University of Washington School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5201 Truxtun Ave
Bakersfield, CA 93309-0421
Phone (661) 328-5565
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.42 of 100
- Quality
- 68.57
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.51
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60328 | CA | MD | Endodontist |
| PA60328 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Physician Assistant | Current | Accepting new patients |
| Bakersfield Memorial Hospital | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| UCLA Medical Group | Past | Accepting new patients |
Locations
5201 Truxtun Ave
Bakersfield, CA 93309
Phone (661) 328-5565
100 UCLA Medical Plz
Ste 460
Los Angeles, CA 90024
Phone (310) 443-8999
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
100 Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-6481
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
2655 1st St
Ste 300
Simi Valley, CA 93065
Phone (805) 578-8550
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kcook1222332@direct.uclahealth.org
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.
-
- Podiatrist
- Los Angeles, CA
- NPI 1750723540
-
- Durable Medical Equipment & Medical Supplies
- Valencia, CA
- NPI 1285507103
-
- Orthopaedic Surgery Physician
- Van Nuys, CA
- NPI 1336615988
Physician Assistant
-
- Institutional Pharmacy
- Bakersfield, CA
- NPI 1144256363
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1043427248
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bakersfield, CA
- NPI 1538157508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1821603978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 TRUXTUN AVE",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933090421",
"telephone_number": "661-328-5565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "KELLY",
"middle_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-14",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA60328",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA60328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "WILKINS",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.