KELCEY RAYE COOPER PA-C, ATC
NPI 1922515923
Physician Assistant in Olive Branch, MS
About Kelcey Raye Cooper Pa-c, Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELCEY RAYE COOPER PA-C, ATC (NPI 1922515923) is an individual physician assistant in Olive Branch, Mississippi, licensed in Mississippi (PA00617) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Methodist Healthcare - Olive Branch Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Kelcey Raye Cooper Pa-c, Atc 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Healthcare - Olive Branch Hospital
Acute Care Hospitals · Olive Branch, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelcey Cooper's NPI number?
The NPI number for Kelcey Cooper is 1922515923. It was assigned to this individual provider in the NPPES registry on December 29, 2017.
Where is Kelcey Cooper located?
Kelcey Cooper practices at 4250 Bethel Rd, Olive Branch, MS 38654. The listed phone number is (901) 516-1290.
What is Kelcey Cooper's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kelcey Cooper enrolled in Medicare?
Yes. Kelcey Cooper is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Kelcey Cooper affiliated with any hospitals?
According to CMS data, Kelcey Cooper is affiliated with Methodist Healthcare - Olive Branch Hospital.
When was this NPI record last updated?
The NPPES record for Kelcey Cooper was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kelcey Raye Cooper, PA-C, ATC · NPI 1922515923
Physician Assistant physician in Olive Branch, Mississippi. Individual provider, active in the CMS NPPES registry since December 29, 2017.
## Identity
- **NPI:** 1922515923 (Entity type: Individual)
- **Enumerated:** December 29, 2017
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA00617 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 4250 BETHEL RD, Olive Branch, MS 38654-8737
- **Phone:** (901) 516-1290 · **Fax:** (901) 516-1220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1922515923) · Data from the CMS NPPES public registry.