Individual provider Active NPI

Michael Cook, NP

  • Nurse Practitioner
  • Methuen, MA
National Provider Identifier
1437625191
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016356 Issued in NC
Practice address
70 East St
Methuen, MA 01844-4597
Phone
(978) 687-0156
NPI assigned
Oct 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN255081 MA
Nurse Practitioner 363L00000X 5016356 NC Primary

Addresses

Primary practice location

70 East St
Methuen, MA 01844-4597

Mailing address

5 James Way
Hudson, NH 03051-5118
Phone (978) 609-4939

Other practice location 1

903 S Beckford Dr
Henderson, NC 27536-5908
Phone (252) 654-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220726000369 NC Practitioner - Nurse Practitioner 5597009944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

903 S Beckford Dr
Henderson, NC 27536-5908
Phone (252) 654-1020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRX High Point, PLLC CurrentSince Apr 13, 2022 Accepting new patients
Fastmed P.C. CurrentSince Jan 1, 2024 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

903 S Beckford Dr
Henderson, NC 27536
Phone (252) 654-1020

1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050

2305 N Main St
High Point, NC 27262
Phone (336) 884-4050

7851 Alexander Promenade Pl
Ste 130
Raleigh, NC 27617
Phone (843) 222-4455

Organizations & group practices 3

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1437625191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JAMES WAY",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030515118",
            "telephone_number": "978-609-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 EAST ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018444597",
            "telephone_number": "978-687-0156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 S Beckford Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275365908",
            "country_code": "US",
            "telephone_number": "252-654-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN255081",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.