BROOKE ASHLEY CERKOVNIK PA-C NPI 1881177079

NPI Information

  • NPI: 1881177079
  • Provider Name: BROOKE ASHLEY CERKOVNIK, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1613 STAMPEDE AVE
    CODY, WY
    ZIP 82414
  • Phone: (307) 587-1155

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NPI Details

Brooke Ashley Cerkovnik, PA-C is a physician assistant in Cody, WY with 7 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Brooke Ashley Cerkovnik, PA-C NPI is 1881177079. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1613 STAMPEDE AVE
CODY, WY
ZIP 82414-710
Phone: (307) 587-1155
Fax: (307) 587-1166

The NPI 1881177079 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg (HCPCS:J7345)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Application of light with debridement to destroy precancer skin growth (HCPCS:96574)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/13/2018 and was last updated on 3/24/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant69429MONTANANo
2363A00000XPhysician AssistantPA.0006112COLORADONo
3363A00000XPhysician AssistantPA-1204WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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