Individual provider Active NPI

Phillip Jeffery Cook, NP

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1386041895
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP7480 Issued in AZ
Practice address
620 N Craycroft Rd
Tucson, AZ 85711-1448
Phone
(520) 519-8540
Fax
(520) 747-3259
NPI assigned
Nov 26, 2014
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP7480 AZ Primary
Family Nurse Practitioner 363LF0000X AP7480 AZ

Addresses

Primary practice location

620 N Craycroft Rd
Tucson, AZ 85711-1448

Mailing address

1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3292

Other practice location 1

5224 W Dove Centre Rd
Marana, AZ 85658-5063
Phone (520) 616-1445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210225002140 AZ Practitioner - Nurse Practitioner 8325344807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians
Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians

Practice addresses (Care Compare)

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

620 N Craycroft Rd
Tucson, AZ 85711-1448
Phone 52079232931308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7480AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cope Community Services, Inc. CurrentSince Dec 4, 2024 Accepting new patients
Cope Community Services, Inc. CurrentSince Dec 4, 2024 Accepting new patients
Marana Health Center Inc CurrentSince Oct 1, 2025 Accepting new patients
Marana Health Center, Inc Family CurrentSince Oct 1, 2025 Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Cope Community Services, Inc. Past Accepting new patients
TMC Medical Network Past Accepting new patients

Locations

13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200

5224 W Dove Centre Rd
Marana, AZ 85658
Phone (520) 616-1445

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

1477 W Commerce Ct
#C
Tucson, AZ 85746

1501 W Commerce Ct
Tucson, AZ 85746
Phone (520) 741-3180

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

620 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 747-6694

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

8050 E Lakeside Pkwy
Tucson, AZ 85730
Phone (520) 584-5820

Interoperability endpoints

  • Direct secure messaging: phillip.cook.1@30710.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1386041895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-792-3292",
            "fax_number": "520-792-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N CRAYCROFT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111448",
            "telephone_number": "520-519-8540",
            "fax_number": "520-747-3259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5224 W Dove Centre Rd",
            "address_purpose": "LOCATION",
            "city": "Marana",
            "state": "AZ",
            "postal_code": "856585063",
            "country_code": "US",
            "telephone_number": "520-616-1445",
            "fax_number": "520-616-1446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "PHILLIP",
        "middle_name": "JEFFERY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-26",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7480",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.