MRS. PRISCYLLA COOK DMS, PA-C
NPI 1750012779
Physician Assistant - Medical in Orlando, FL

Q: What is Priscylla Cook's NPI number?

The NPI number for Priscylla Cook is 1750012779. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Q: What is Priscylla Cook's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Priscylla Cook was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 21, 2022PECOS Enrolled

12139 S APOPKA VINELAND RD, ORLANDO, FL 32836(407) 535-1313(407) 778-1479 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mrs. Priscylla Cook Dms, Pa-c NPPES

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

MRS. PRISCYLLA COOK DMS, PA-C (NPI 1750012779) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9118283) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750012779

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. PRISCYLLA COOKCredential: DMS, PA-C

Location Address12139 S APOPKA VINELAND RDOrlando, FL 32836-6802

Mailing Address12139 S Apopka Vineland RdOrlando, FL 32836-6802 · (407) 591-1076

Phone(407) 535-1313

Fax(407) 778-1479

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 21, 2022

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1750012779 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 FL · PA9118283

12139 S APOPKA VINELAND RD, Orlando, FL 32836

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Priscylla Cook Dms, Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678017654

PECOS Enrollment IDI20240701004006

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 7

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

GLORIA IVETTE PACHECO APRN

Nurse Practitioner (Family)