Individual provider Active NPI

Jessica Nicole Cook, PA-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1568856458
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13187 Issued in NC
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

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1568856458MedicaidNC
2044862MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150706001424 WA Practitioner - Physician Assistant 7911219936 Reassigns benefits to 1 organization
I20230530002080 NC Practitioner - Physician Assistant 7911219936 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
0010-13187NCMDPhysician Assistant
PA60542587WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Mountain Community Health Centers CurrentSince Jun 19, 2023 Accepting new patients
Community Health Center of Snohomish County CurrentSince Dec 10, 2018 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.

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

Verify at the official NPI Registry.