Emma Therese Cook, APRN
Individual provider Active NPI Nurse Practitioner · Raymore, MO
NPI 1104545763 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1104545763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2022037673 (MO)
- Practice address
- 1424 Camden CT
Raymore, MO 64083-8730 - Phone
- (402) 536-0511
- NPI assigned
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MO, KS, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230218000078 | MO | Practitioner - Nurse Practitioner | 7719359876 | Reassigns benefits to 1 organization |
| I20230302001608 | KS | Practitioner - Nurse Practitioner | 7719359876 | Reassigns benefits to 1 organization |
| I20250428002405 | IN | Practitioner - Nurse Practitioner | 7719359876 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13-141304-041 | KS | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Network of Indiana LLC | Current |
Accepting new patients | |
| Optum Medical Group P a | Current |
Accepting new patients | |
| American Health Network of Indiana, LLC | Nurse Practitioner | Current |
Accepting new patients |
| American Health Network of Indiana, LLC | Past | Accepting new patients |
Locations
10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928
7151 Marsh Rd
Ste 150
Indianapolis, IN 46278
Phone (317) 216-2021
7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357
6860 W 115th St
Overland Park, KS 66211
Phone (800) 645-9656
9229 Ward Pkwy
Kansas City, MO 64114
Phone (816) 444-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2022037673 | MO | Yes |
Addresses
Primary practice location
1424 Camden CT
Raymore, MO 64083-8730
Mailing address
1424 Camden CT
Raymore, MO 64083-8730
Phone (402) 536-0511
Other providers in Raymore, MO
- Compass Health, Inc
- Compass Health, Inc.
- Compass Health, Inc.
- Compass Health, Inc.
- Pilar Conley
- Sarah Ann Corwin
- Cosentino Group Inc
- Michael J. Cox
- Maddison Danielle Croy
- Cultivating Hope Therapy, LLC
All providers in Raymore, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.