Individual provider Active NPI

Elizabeth R Cook, PA-C

  • Physician Assistant
  • Warwick, RI
National Provider Identifier
1114594041
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 Crossings Blvd
Warwick, RI 02886-2878
Phone
(401) 777-7000
NPI assigned
Jun 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

300 Crossings Blvd
Warwick, RI 02886-2878

Mailing address

50 Burlington St
Providence, RI 02906-3621
Phone (401) 864-4312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210726001055 RI Practitioner - Physician Assistant 3173926326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians

Practice addresses (Care Compare)

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

900 Warren Ave
Suite 202
East Providence, RI 02914-1430
Phone (401) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc Physician Assistant CurrentSince Jul 6, 2021 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Jul 6, 2021 Accepting new patients
Orthopedics Rhode Island, Inc Physician Assistant Past Accepting new patients

Locations

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

200 Crossings Blvd
Ste 310
Warwick, RI 02886

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1114594041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BURLINGTON ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063621",
            "telephone_number": "401-864-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CROSSINGS BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862878",
            "telephone_number": "401-777-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.