Kimberly Ann Cook, NP
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Leonardtown, MD
NPI 1215426010 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1215426010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- R196966 (MD)
- Practice address
- 41680 Miss Bessie Dr Ste 102
Leonardtown, MD 20650-2963 - Phone
- (301) 997-1788
- Fax
- (301) 997-1790
- NPI assigned
- May 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medstar Medical Group II LLC
Practice addresses (Care Compare)
41680 Miss Bessie Dr
Leonardtown, MD 20650-2906
Phone (301) 997-0055
Hospital & facility affiliations
- Medstar Saint Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
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 |
|---|---|---|---|---|
| I20180604002102 | MD | Practitioner - Nurse Practitioner | 3375808843 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R196966 | MD | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waldorf Womens Care | Current |
Accepting new patients | |
| Southern Maryland Women'S Healthcare, PA | Current |
Accepting new patients | |
| Medstar Medical Group II LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Medstar Medical Group II LLC | Past |
Accepting new patients |
Locations
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
41680 Miss Bessie Dr
Leonardtown, MD 20650
Phone (301) 997-0055
41680 Miss Bessie Dr
Ste 102
Leonardtown, MD 20650
Phone (301) 997-1788
25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106
4470 Regency Pl
Ste 106
White Plains, MD 20695
Phone (240) 252-2140
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | R196966 | MD | Yes |
Addresses
Primary practice location
41680 Miss Bessie Dr Ste 102
Leonardtown, MD 20650-2963
Mailing address
41680 Miss Bessie Dr Ste 102
Leonardtown, MD 20650-2963
Phone (301) 997-1788
Other providers in Leonardtown, MD
- Cleary Psychotherapy & Consulting, LLC
- Sandra L Cleary
- Morgan Cohen
- Kelsey Colvin
- Kelly Condron
- Jenelle L Cooper
- Cornerstone Montgomery, Inc.
- Cornerstone Montgomery, Inc.
- Cornerstone Montgomery, Inc.
- Cornerstone Montgomery, Inc.
All providers in Leonardtown, MD · Obstetrics & Gynecology 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 Nov 22, 2023. 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.