Shari Ranee Cook, FNP
Individual provider Active NPI Family Nurse Practitioner · Ava, MO
NPI 1487210969 · NPPES record last updated May 10, 2019
Key facts
- NPI
- 1487210969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2019006728 (MO)
- Practice address
- 504 NW 10TH Ave.
Ava, MO 65608 - Phone
- (417) 683-5739
- NPI assigned
- May 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Douglas County Public Health Services Group, Inc.
Practice addresses (Care Compare)
504 W Broadway Ave
Missouri Ozarks Community Health
Ava, MO 65608-1359
Phone (417) 683-5739
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20190711001169 | MO | Practitioner - Nurse Practitioner | 3678808748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019006728 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas County Public Health Services Group, Inc. | Past | Accepting new patients | |
| Douglas County Public Health Services Group, Inc. | Past |
Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2019006728 | MO | Yes |
Addresses
Primary practice location
504 NW 10TH Ave.
Ava, MO 65608
Mailing address
PO Box 1359
Ava, MO 65608-1359
Phone (417) 683-4831
Other providers in Ava, MO
- Alan Butler
- Kory Aaron Charpentier
- Mou Shyong Chern
- Chelsea Cloven
- Danica Lael Cody
- Jerriann Coxson
- Deaconess Long Term Care of Ohio, Inc.
- Denney Chiropractic
- Kathy L Domiano
- Douglas County Health Department
All providers in Ava, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2019. 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.