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RICHARD EDWARD COOKSLEY PA
NPI 1942271192
Physician Assistant - Medical in Canyonville, OR

Active since January 27, 2006PECOS Enrolled
115 S PINE ST, CANYONVILLE, OR 97417(541) 839-4211(541) 839-4983 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2018, Dec 15, 2015 (2 updates tracked since 2015).

About Richard Edward Cooksley Pa NPPES

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

RICHARD EDWARD COOKSLEY PA (NPI 1942271192) is an individual medical provider in Canyonville, Oregon, licensed in Oregon (PA00272) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942271192
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICHARD EDWARD COOKSLEYCredential: PA
Location Address115 S PINE STCanyonville, OR 97417-9648
Mailing AddressPo Box 888Canyonville, OR 97417-0888 · (541) 839-4211 · Fax (541) 839-4983
Phone(541) 839-4211
Fax(541) 839-4983
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateOctober 18, 20182 updates tracked since enumeration
✔ NPI 1942271192 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 OR · PA00272
115 S PINE ST, Canyonville, OR 97417
Open in Google Maps ↗

Other Identifiers 3

Other930087876OR · Railroad Medicare
OtherPA00272OR · State License
Medicaid165878OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Edward Cooksley Pa 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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers17 claims17 services$40.77 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$102.50 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims39 services$43.70 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$25.04 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers22 claims128 services$3.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$18.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR ANNA LLC
Internal Medicine
115 S PINE ST
CANYONVILLE, OR 97417
Douglas County (541) 839-4211
JON DOUGLAS GAMBILL PA-C
Physician Assistant (Medical)
115 S PINE ST
CANYONVILLE, OR 97417
Douglas County (541) 839-4211
ANANDITA TIWARI M.D.
Internal Medicine
115 S PINE ST
CANYONVILLE, OR 97417
Douglas County (541) 839-4211

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 Richard Cooksley's NPI number?

The NPI number for Richard Cooksley is 1942271192. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Richard Cooksley located?

Richard Cooksley practices at 115 S Pine St, Canyonville, OR 97417. The listed phone number is (541) 839-4211.

What is Richard Cooksley's specialty?

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

Is Richard Cooksley enrolled in Medicare?

Yes. Richard Cooksley is registered in the Medicare PECOS enrollment system.

What insurance does Richard Cooksley accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Richard Cooksley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Cooksley was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.