Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derrick D Kooker, PA

Individual provider Surgical Physician Assistant · NPI 1851373526

Derrick D Kooker, PA is a Physician Assistant in Colorado Springs, Colorado. Qualified in 1998, 28 years ago. Practices with Catholic Health Initiatives Colorado, a 1,266-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Kentucky.

Years since qualifying
28
Licensed in
CO, KY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2312 N Nevada Ave Ste 235
Colorado Springs, CO 80907-5312
Phone: (719) 776-7600
Fax: (719) 473-3553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 — (719) 776-7600

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.0003166 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA961 (KY)

Record details

NPI number1851373526
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 17, 2005
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Catholic Health Initiatives Colorado — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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