Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sophie Elizabeth Cooney, PA-C

Individual provider Physician Assistant · NPI 1821612391

Sophie Elizabeth Cooney, PA-C is a Physician Assistant in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana, Missouri and New York.

Years since qualifying
6
Licensed in
IN, MO, NY
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

621 S New Ballas Rd Ste 297A
Saint Louis, MO 63141-8200
Phone: (314) 251-6364
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 621 S New Ballas Rd Ste 298a, Saint Louis, MO 63141-8200 — (314) 251-6364

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2023046479 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 028957 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 10002971A (IN)

Record details

NPI number1821612391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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