Olivia L Cook, FNP-BC
Individual provider Active NPI Family Medicine Physician · Arnold, MD
NPI 1114635638 · NPPES record last updated Dec 12, 2022
Key facts
- NPI
- 1114635638
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R221593 (MD)
- Practice address
- 1509 Ritchie Hwy
Arnold, MD 21012-2742 - Phone
- (410) 757-7600
- NPI assigned
- Nov 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Maryland Primary Care Physicians, LLC
Practice addresses (Care Compare)
1509 Ritchie Hwy
Arnold, MD 21012-2742
Phone (410) 757-7600
Hospital & facility affiliations
- Amedisys Home Health of Maryland
- The Johns Hopkins Home Health Services, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- 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 |
|---|---|---|---|---|
| I20230103002035 | MD | Practitioner - Nurse Practitioner | 2365812690 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R221593 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maryland Primary Care Physicians, LLC | Current |
Accepting new patients |
Locations
1509 Ritchie Hwy
Arnold, MD 21012
Phone (410) 757-1600
7580 Buckingham Blvd
Ste 220
Hanover, MD 21076
Phone (410) 729-5100
Interoperability endpoints
- ocook975028@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R221593 | MD | Yes |
Addresses
Primary practice location
1509 Ritchie Hwy
Arnold, MD 21012-2742
Mailing address
7580 Buckingham Blvd Ste 220
Hanover, MD 21076-3210
Phone (410) 729-5100
Other names
- Olivia Maciejczyk
Other providers in Arnold, MD
- Sheri B Coleman
- Jessica Ami Collins
- Comfort on the Severn Home Care Services LLC
- Anna T Conley
- Amy Conrad
- Carol Hildegard Corcoran
- Logan Crawford
- Amanda Marie Curry
- Amanda Leigh Dailey
- Jhoanna Daproza
All providers in Arnold, MD · Family Medicine Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.