1. Home
  2. Directory
  3. Alaska
  4. Fairbanks
  5. Physician Assistant
  6. NPI Profile

BROOKE VANESSA CORDOVA PA-C
NPI 1477821130
Physician Assistant in Fairbanks, AK

Active since December 09, 2011PECOS Enrolled
1001 NOBLE ST STE 1, FAIRBANKS, AK 99701(907) 459-3520(907) 459-3541 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 2, 2021, Jun 8, 2017 (2 updates tracked since 2017).

About Brooke Vanessa Cordova Pa-c NPPES

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

BROOKE VANESSA CORDOVA PA-C (NPI 1477821130) is an individual physician assistant in Fairbanks, Alaska, licensed in Alaska (164786) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Panama City Beach.

NPPES Registry Identity

NPI1477821130
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBROOKE VANESSA CORDOVACredential: PA-C
Location Address1001 NOBLE ST STE 1Fairbanks, AK 99701-4991
Mailing AddressPo Box 73720Fairbanks, AK 99707-3720 · (814) 594-1319
Phone(907) 459-3520
Fax(907) 459-3541
Sole ProprietorNo
Enumeration DateDecember 9, 2011
Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration
NPPES CertifiedJuly 2, 2021
✔ NPI 1477821130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in AK · 164786✔ Licensed in FL · PA9106366
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1001 NOBLE ST STE 1, Fairbanks, AK 99701
Open in Google Maps ↗

Other Names 1

Former Name (1)Brooke Vanessa Perdomo Pa-c

Secondary Practice Location 1

Location 17504 McElvey RdPanama City Beach, FL 32408-4919 · Phone (850) 481-1101 · Fax (850) 441-3748

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Vanessa Cordova 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

JULIA FRANKLIN MD
Family Medicine
1001 NOBLE ST STE 1
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
ROSE LAMESJERANT PHARMD
Pharmacist (Pharmacotherapy)
1001 NOBLE ST STE 1
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 374-2460
CARLA MICHELLE CARTAGENA DE JESUS M.D
Pediatrics
1001 NOBLE ST STE 1
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500
ANTHONY J BONITATIBUS MD
Allergy & Immunology
1001 NOBLE ST STE 1
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 458-2635
AMBER N FIGUEROA DO
Family Medicine
1001 NOBLE ST STE 1
FAIRBANKS, AK 99701
Fairbanks North Star Borough (907) 459-3500

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 Brooke Cordova's NPI number?

The NPI number for Brooke Cordova is 1477821130. It was assigned to this individual provider in the NPPES registry on December 9, 2011. The provider is also known as Brooke Vanessa Perdomo Pa-C.

Where is Brooke Cordova located?

Brooke Cordova practices at 1001 Noble St Ste 1, Fairbanks, AK 99701. The listed phone number is (907) 459-3520.

What is Brooke Cordova's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brooke Cordova enrolled in Medicare?

Yes. Brooke Cordova is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Cordova was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.