Individual provider Active NPI

James N. Cooke, FNP-C

  • Family Nurse Practitioner
  • Newberg, OR
National Provider Identifier
1366446742
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
098006159N1 Issued in OR
Practice address
1001 N Providence Dr
Newberg, OR 97132-7485
Phone
(503) 537-1470
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 098006159N1 OR Primary

Addresses

Primary practice location

1001 N Providence Dr
Newberg, OR 97132-7485

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice location 1

1909 Mountain View Ln
Ste 200
Forest Grove, OR 97116-2893
Phone (503) 359-4773

Other identifiers 1

IdentifierTypeStateIssuer
269484MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20050509000428 OR Practitioner - Nurse Practitioner 6002856101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince Mar 25, 2025 Accepting new patients
Silverton Health CurrentSince Mar 25, 2025 Accepting new patients
Providence Medical Group, PC Past Accepting new patients
Timothy J Gray DO LLC PastSince Jan 1, 2005 Accepting new patients

Locations

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

1475 Mount Hood Ave
Ste 130
Woodburn, OR 97071

1475 Mount Hood Ave
Ste 140
Woodburn, OR 97071
Phone (503) 873-8853

Interoperability endpoints

  • Direct secure messaging: jcooke287831@oc.providencedirect.org
  • FHIR API: https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1366446742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N PROVIDENCE DR",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327485",
            "telephone_number": "503-537-1470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Mountain View Ln",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971162893",
            "country_code": "US",
            "telephone_number": "503-359-4773",
            "fax_number": "503-359-3809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JAMES",
        "middle_name": "N.",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "098006159N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269484",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

Verify at the official NPI Registry.