Kimberly E Cook, C.R.N.P.
Individual provider Active NPI Family Nurse Practitioner · Solomons, MD
NPI 1124051099 · NPPES record last updated Jan 16, 2024
Key facts
- NPI
- 1124051099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R134606 (MD)
- Practice address
- 14090 HG Trueman Rd Ste 2100
Solomons, MD 20688-3151 - Phone
- (410) 394-3712
- Fax
- (410) 394-3714
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Calverthealth Medical Group, LLC
Practice addresses (Care Compare)
14090 HG Trueman Rd
Solomons, MD 20688-3151
8924 Chesapeake Ave
North Beach, MD 20714-4050
Phone (410) 257-7279
Hospital & facility affiliations
- Medstar Health Home Care
- Chesapeake - Potomac Home Health Agency, Inc.
- Homecall
- Medstar Saint Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.48 of 100
- Quality
- 74.54
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 81.24
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 |
|---|---|---|---|---|
| I20050511000336 | MD | Practitioner - Nurse Practitioner | 4981644747 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calverthealth Medical Group, LLC | Family | Current |
Accepting new patients |
| Calverthealth Medical Group, LLC | Current |
Accepting new patients | |
| Calverthealth Medical Group, LLC | Current | Accepting new patients | |
| Khosrow Davachi MD PC | Past | Accepting new patients | |
| Youngsik Moon, M.D., P.a. | Past | Accepting new patients |
Locations
8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
14090 Hg Trueman Rd
Ste 2100
Solomons, MD 20688
Phone (410) 394-2700
14090 Hg Trueman Rd
Ste 2600
Solomons, MD 20688
Phone (410) 394-3712
Interoperability endpoints
- kimberly.cook@directcalverthospital.org
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R134606 | MD | Yes |
Addresses
Primary practice location
14090 HG Trueman Rd Ste 2100
Solomons, MD 20688-3151
Mailing address
100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (410) 414-4791
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003982900 | Medicaid | MD | |
| 13070005 | Other | DC | CAREFIRST BCBS OF DC |
| 64804501 | Other | MD | CAREFIRST BCBS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kimberly.cook.p1@direct.calverthealth.nextgenshare.com | Health Information Exchange (HIE) | CalvertHealth Medical Group, LLC |
Other providers in Solomons, MD
- Centers for Advanced Orthopaedics, LLC
- Wing Chan
- Kyle J Clover
- Victoria Clover
- Erin Coffren
- CRH MD Management LLC
- Kathleen M Daly
- Kendall Nicholas Defreitas
- Thiri S Demars
- Alison Donan
All providers in Solomons, MD · Family Nurse Practitioner in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2024. 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.