Individual provider Active NPI

Nancy Codd-Cook, F.N.P., P.H.D.

  • Family Nurse Practitioner
  • Oneonta, NY
National Provider Identifier
1548212210
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F330346 Issued in NY
Practice address
125 Main St
Oneonta, NY 13820-2531
Phone
(607) 433-1790
Fax
(607) 433-6608
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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 F330346 NY Primary

Addresses

Primary practice location

125 Main St
Oneonta, NY 13820-2531

Mailing address

PO Box 725
Cooperstown, NY 13326-0725
Phone (607) 433-1790

Other identifiers 1

IdentifierTypeStateIssuer
02289398MedicaidNY

Other names 1

  • Dr. Nancy Cook Other name

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
I20111012000648 NY Practitioner - Nurse Practitioner 3577735786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
F330346NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Jan 1, 1995 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jan 1, 1995 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

739 State Highway 28
Ste 9
Oneonta, NY 13820
Phone (607) 431-1015

125 Main St
Oneonta, NY 13820
Phone (607) 433-1790

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1548212210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133260725",
            "telephone_number": "607-433-1790",
            "fax_number": "607-433-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202531",
            "telephone_number": "607-433-1790",
            "fax_number": "607-433-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODD-COOK",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "F.N.P., P.H.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F330346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02289398",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "COOK",
            "prefix": "DR.",
            "credential": "F.N.P., P.H.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.