DV'NN JA'JWAN COOKS SR. PA-C
NPI 1124844089
Physician Assistant - Medical in Las Vegas, NV

Active since November 25, 2024PECOS Enrolled
1450 N MAIN ST, LAS VEGAS, NV 89101(702) 307-4635 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dv'nn Ja'jwan Cooks Sr. Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DV'NN JA'JWAN COOKS SR. PA-C (NPI 1124844089) is an individual medical provider in Las Vegas, Nevada, licensed in Nevada (PA3122) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124844089
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDV'NN JA'JWAN COOKS SR.Credential: PA-C
Location Address1450 N MAIN STLas Vegas, NV 89101
Mailing Address1450 N Main StreetLas Vegas, NV 89101 · (702) 307-4635
Sole ProprietorNo
Enumeration DateNovember 25, 2024
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 25, 2024
NPI 1124844089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NV · PA3122
1450 N MAIN ST, Las Vegas, NV 89101

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dv'nn Ja'jwan Cooks Sr. Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
1450 N MAIN ST
LAS VEGAS, NV 89101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dv'nn Cooks's NPI number?

The NPI number for Dv'nn Cooks is 1124844089. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Dv'nn Cooks located?

Dv'nn Cooks practices at 1450 N Main St, Las Vegas, NV 89101. The listed phone number is (702) 307-4635.

What is Dv'nn Cooks's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dv'nn Cooks enrolled in Medicare?

Yes. Dv'nn Cooks is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dv'nn Cooks was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.