Active NPI
Misty G Cook, ACNP
- Acute Care Nurse Practitioner
- Hopkinsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 3006628
- Practice address
- 1724 Kenton St Ste 2B
Hopkinsville, KY 42240-1981 - Phone
- (270) 632-4555
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 6628P | KY | |
| Acute Care Nurse Practitioner | 363LA2100X | 3006628 | KY | Primary |
Addresses
Primary practice location
1724 Kenton St Ste 2B
Hopkinsville, KY 42240-1981
Mailing address
900 Hospital Dr
Madisonville, KY 42431-1644
Phone (270) 825-5100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000757773 | Other | KY | ANTHEM BCBS- TROVER CLINIC |
| 7100193430 | Medicaid | KY | |
| P01114079 | Other | KY | MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000660 | KY | Practitioner - Nurse Practitioner | 8628237419 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jennie Stuart Medical Center Inc
Practice addresses (Care Compare)
1724 Kenton St
Suite 2B
Hopkinsville, KY 42240-1981
Phone (270) 632-4555
Hospital & facility affiliations
- Jennie Stuart Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3006628 | KY | MD | Acute Care Nurse Practitioner |
| 6628P | KY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennie Stuart Medical Center Inc | Current | Accepting new patients | |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Jennie Stuart Medical Center Inc | Current | Accepting new patients | |
| Jennie Stuart Medical Center Inc | Current | Accepting new patients | |
| Jennie Stuart Medical Center | Past | Accepting new patients |
Locations
320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100
1724 Kenton St
Ste 2B
Hopkinsville, KY 42240
Phone (270) 632-4555
10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640
310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
Organizations & group practices 9
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.
-
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1912627605
-
- Rural Health Clinic/Center
- Trenton, KY
- NPI 1407576580
-
- Psychiatric Hospital Unit
- Hopkinsville, KY
- NPI 1487184453
-
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1679293369
-
- Rural Health Clinic/Center
- Hopkinsville, KY
- NPI 1891415972
-
- Internal Medicine Physician
- Hopkinsville, KY
- NPI 1588384671
-
- Home Health Agency
- Hopkinsville, KY
- NPI 1538222500
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hopkinsville, KY
- NPI 1235139312
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1134437098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311644",
"telephone_number": "270-825-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 KENTON ST STE 2B",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422401981",
"telephone_number": "270-632-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MISTY",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "6628P",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "KY",
"license": "3006628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS- TROVER CLINIC",
"identifier": "000000757773",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100193430",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P01114079",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.