Kelcey Raye Cooper, PA-C, ATC
NPI 1922515923ActiveIndividual· Physician Assistant· Olive Branch, MS
Physician Assistant (PA-C, ATC) with Methodist Inpatient Physicians LLC, practicing in Olive Branch, Mississippi. Medicare paid $3,363 for services to 33 patients in 2024. Lists Methodist Healthcare - Olive Branch Hospital as a hospital affiliation.
Overview
| NPI | 1922515923 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C, ATC |
| Sole proprietor | No |
| NPI issued | Dec 29, 2017 |
| Last updated in NPPES | May 27, 2025 |
| Certified by provider | May 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA00617 | MS |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MS); Practitioner - Physician Assistant (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 33 across 2 procedure codes |
| Paid by Medicare | $3,363 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Methodist Inpatient Physicians LLCGermantown, TN · 128 clinicians
Hospital affiliation
- Methodist Healthcare - Olive Branch HospitalOlive Branch, MS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Olive Branch
- 1588396378
- 1093122210
- 1255752283