Look up the most recent NPI and PECOS records

Miranda Cook

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

2602 Warwood Ave, Wheeling, WV 26003-7255

PECOS Enrollment

Based on the most recent information from CMS, provider Miranda Cook is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1740884576
Provider Type
Individual
Full Name
Cook, Miranda
Title
Mrs.
Credential
PA-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/23/2020
Last Updated
3/11/2025

Contact Information

Practice Location

2602 Warwood Ave, Wheeling, WV 26003-7255

(412) 719-4615

Unlisted Fax

Mailing Location

2602 Warwood Ave, Wheeling, WV 26003-7255

(412) 719-4615

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Miranda Cook

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Stoner, Jacob Roger

Shepard, Clint

Cummings, Brittany Paige

Raygor, Benjamin

Orlofske, Terrence

Stoner, Rodney E

Mercer, Karen

Clipp, Lisa G

Stauffer, Tonda Marie

Drusbasky, Riley