Active NPI
Jessica Nicole Cook, PA-C
- Physician Assistant
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-13187
- Practice address
- 77 McDowell St
Asheville, NC 28801-4435 - Phone
- (828) 257-4745
- Fax
- (425) 382-4001
- NPI assigned
- Mar 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60542587 | WA | |
| Physician Assistant | 363A00000X | 0010-13187 | NC | Primary |
Addresses
Primary practice location
77 McDowell St
Asheville, NC 28801-4435
Mailing address
PO Box 100181
Columbia, SC 29202-3141
Phone (828) 202-5200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568856458 | Medicaid | NC | |
| 2044862 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Patton Ave
Suite 200
Asheville, NC 28801-2641
Phone (828) 412-5315
409 Tallulah Rd
Robbinsville, NC 28771-8500
Phone (828) 479-6434
711 New Leicester Hwy
Asheville, NC 28806-1048
Phone (828) 253-3717
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-13187 | NC | MD | Physician Assistant |
| PA60542587 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Mountain Community Health Centers | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients |
Locations
77 McDowell St
Asheville, NC 28801
Phone (828) 254-5326
4048 E US 64 Alt
Ste 1
Murphy, NC 28906
Phone (828) 837-8131
409 Tallulah Rd
Robbinsville, NC 28771
Phone (828) 479-6434
4201 Rucker Ave
Everett, WA 98203
Phone (425) 382-4000
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tallulah Community Health Center
- Federally Qualified Health Center (FQHC)
- Robbinsville, NC
- NPI 1780064832
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1568856458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100181",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292023141",
"telephone_number": "828-202-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MCDOWELL ST",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288014435",
"telephone_number": "828-257-4745",
"fax_number": "425-382-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JESSICA",
"middle_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-27",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60542587",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-13187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1568856458",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2044862",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.