Kayla Marie Cooley, FNP-C - Medicare Nurse Practitioner in Sandersville, MS

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Kayla Marie Cooley, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sandersville, Mississippi. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wiggins Primary Care and her current practice location is 109 N Front St, Sandersville, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 490-7190.

Kayla Marie Cooley is licensed to practice in Mississippi (license number 904346) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003404732.

Contact Information

Kayla Marie Cooley, FNP-C
109 N Front St,
Sandersville, MS 39477
(601) 490-7190
(601) 490-7191

Map and Direction




Provider's Profile

Full NameKayla Marie Cooley
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location109 N Front St, Sandersville, Mississippi
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kayla Marie Cooley graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1003404732
  • Provider Enumeration Date: 01/07/2021
  • Last Update Date: 05/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183031966
  • Enrollment ID: I20210323000256

Medical Identifiers

Medical identifiers for Kayla Marie Cooley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003404732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 904346 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
George Regional Health SystemLucedale, MSHospital
Memorial Hospital At GulfportGulfport, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wiggins Primary Care58907370195

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kayla Marie Cooley allows following entities to bill medicare on her behalf.
Entity NameCoastal Family Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629066782
PECOS PAC ID: 8628989654
Enrollment ID: O20040108000698
Entity NameCommunity Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194734913
PECOS PAC ID: 8921072588
Enrollment ID: O20040820000647
Entity NameWiggins Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740293257
PECOS PAC ID: 5890737019
Enrollment ID: O20050527000428
Entity NameLaurel Pain Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811098874
PECOS PAC ID: 4486698883
Enrollment ID: O20050616000483

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kayla Marie Cooley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kayla Marie Cooley, FNP-C
1032 Morriston Rd,
Petal, MS 39465-9733

Ph: (601) 410-3924		Kayla Marie Cooley, FNP-C
109 N Front St,
Sandersville, MS 39477

Ph: (601) 490-7190

Reviews and Comments


Nurse Practitioner Nurses in Sandersville, MS

Michael Douglas Collins, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 N Front Street, Sandersville, MS 39477
Phone: 601-490-7190    Fax: 601-490-7191
Donna Lauren Johnson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 109 Front St, Sandersville, MS 39477
Phone: 601-490-7190    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.