Individual provider Active NPI

Jacqueline Olivia Cook, FNP, RN

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1528855103
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F35631201 Issued in NY
Practice address
290 Madison Ave FL 2
New York, NY 10017-6375
Phone
(917) 920-3006
Fax
(531) 200-0034
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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 F35631201 NY Primary

Addresses

Primary practice location

290 Madison Ave FL 2
New York, NY 10017-6375

Mailing address

244 Madison Ave Ste 1120
New York, NY 10016-2817
Phone (917) 920-3006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20251007000933 NY Practitioner - Nurse Practitioner 4183121262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Manhattan PLLCGroup PAC ID 2567735152, 13 clinicians

Practice addresses (Care Compare)

290 Madison Ave
FL 2
New York, NY 10017-6375
Phone (212) 518-4562

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F35631201NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mni Medical Services, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Medical Services of Manhattan, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

188 Montague St
Fl 10
Brooklyn, NY 11201
Phone (631) 450-3772

156 William St
Rm 302
New York, NY 10038
Phone (212) 518-4562

290 Madison Ave
Fl 2
New York, NY 10017
Phone (212) 518-4562

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

244 Madison Ave
#1100
New York, NY 10016

Organizations & group practices 2

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": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1528855103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 MADISON AVE STE 1120",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162817",
            "telephone_number": "917-920-3006",
            "fax_number": "212-561-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 MADISON AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176375",
            "telephone_number": "917-920-3006",
            "fax_number": "531-200-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JACQUELINE",
        "middle_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F35631201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.