Individual provider Active NPI

Jessica Lynn Cook, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1073046496
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP017381 Issued in PA
Practice address
1307 Federal St
Suite 304
Pittsburgh, PA 15212-4769
Phone
(412) 359-3682
Fax
(412) 359-8541
NPI assigned
Apr 4, 2017
Last updated
Jun 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP017381 PA Primary

Addresses

Primary practice location

1307 Federal St
Suite 304
Pittsburgh, PA 15212-4769

Mailing address

1307 Federal St
Suite 304
Pittsburgh, PA 15212-4769
Phone (412) 359-3682

Other identifiers 1

IdentifierTypeStateIssuer
103296546MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170623000089 PA Practitioner - Nurse Practitioner 5395013973 Reassigns benefits to 2 organizations
I20230313000371 OH Practitioner - Nurse Practitioner 5395013973 Reassigns benefits to 1 organization
I20240730000810 KY Practitioner - Nurse Practitioner 5395013973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pursuecare, LLCGroup PAC ID 4587998927, 26 clinicians

Practice addresses (Care Compare)

4010 Dupont Cir
Suite 449
Louisville, KY 40207-4812
Phone (860) 270-0485

4400 Easton CMNS
Suite 125
Columbus, OH 43219-6223
Phone (860) 270-0485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP017381PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pursuecare Pennsylvania PLLC Family CurrentSince Aug 28, 2024 Accepting new patients

Locations

101 Centerpoint Dr
Ste 105
Middletown, CT 06457
Phone (860) 245-8553

35 E Elizabeth Ave
Ste 205
Bethlehem, PA 18018
Phone (610) 865-4228

Interoperability endpoints

  • Direct secure messaging: jessica.cook.1@28331.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497225600000",
    "number": "1073046496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SUITE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-359-3682",
            "fax_number": "412-359-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FEDERAL ST",
            "address_2": "SUITE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124769",
            "telephone_number": "412-359-3682",
            "fax_number": "412-359-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP017381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103296546",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.