WHITNEY COOLEY PA-C
NPI 1477304038
Physician Assistant - Medical in Lawrenceburg, IN

Active since April 01, 2024Opted out of Medicare · through Nov 14, 2026
102 INDUSTRIAL DR, LAWRENCEBURG, IN 47025(812) 584-0817 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 30, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Whitney Cooley Pa-c NPPES

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

WHITNEY COOLEY PA-C (NPI 1477304038) is an individual medical provider in Lawrenceburg, Indiana, licensed in Indiana (10004460A) and active in the NPI registry since April 2024. She has opted out of Medicare through November 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477304038
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameWHITNEY COOLEYCredential: PA-C
Location Address102 INDUSTRIAL DRLawrenceburg, IN 47025-1116
Mailing Address21208 Salt Fork RdLawrenceburg, IN 47025-8393
Sole ProprietorYes
Enumeration DateApril 1, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
NPI 1477304038 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 IN · 10004460A
102 INDUSTRIAL DR, Lawrenceburg, IN 47025

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Whitney Cooley Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2024 through November 14, 2026.

Opt-Out Effective DateNovember 14, 2024
Opt-Out In Effect ThroughNovember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Whitney Cooley's NPI number?

The NPI number for Whitney Cooley is 1477304038. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Whitney Cooley located?

Whitney Cooley practices at 102 Industrial Dr, Lawrenceburg, IN 47025. The listed phone number is (812) 584-0817.

What is Whitney Cooley's specialty?

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

Is Whitney Cooley enrolled in Medicare?

No. Whitney Cooley has opted out of Medicare through November 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Whitney Cooley was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.