Jennifer Renae Cook, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Black Mountain, NC
NPI 1609673193 · NPPES record last updated Mar 12, 2025
Key facts
- NPI
- 1609673193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5021773 (NC)
- Practice address
- 611 Old US 70 E
Black Mountain, NC 28711-9488 - Phone
- (828) 669-9991
- NPI assigned
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- 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 |
|---|---|---|---|---|
| I20250521002223 | NC | Practitioner - Nurse Practitioner | 3173042322 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of North Carolina, PC | Current |
Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Current |
Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current |
Accepting new patients | |
| NM Pacs 2 LLC | Current |
Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
611 Old US Hwy 70 E
Black Mtn, NC 28711
Phone (828) 665-7062
707 N Elm St
High Point, NC 27262
Phone (336) 885-0141
204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
179 Combs St
Sparta, NC 28675
Phone (336) 372-2441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5021773 | NC | Yes |
Addresses
Primary practice location
611 Old US 70 E
Black Mountain, NC 28711-9488
Mailing address
6 Half Moon Dr # B
Swannanoa, NC 28778-8318
Phone (828) 808-5915
Other providers in Black Mountain, NC
- Cold Mountain Pharmacy Services L.L.C.
- Cold Mountain Pharmacy Services L.L.C.
- Karen B Collins
- Jessica Coltabaugh
- Fred Allen Connelly
- Kelsey Lauren Crabtree
- Heather Rawls Cree
- D S Douglas Otr L LLC
- Salvatore John D'Angio
- Mary Elizabeth Daniel
All providers in Black Mountain, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2025. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.