Erica Nichole Cook, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Minster, OH
NPI 1619786738 · NPPES record last updated Jul 7, 2025
Key facts
- NPI
- 1619786738
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0038383 (OH)
- Practice address
- 4 Eagle Dr Ste a
Minster, OH 45865-9714 - Phone
- (419) 628-6156
- Fax
- (937) 853-8032
- NPI assigned
- Jan 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Personal Wellness, LLC
Practice addresses (Care Compare)
4 Eagle Dr
Suite a
Minster, OH 45865-9714
Phone (419) 628-6156
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20250411000622 | OH | Practitioner - Nurse Practitioner | 8921522996 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivers Edge Wellness, LLC | Single Specialty | Current |
Accepting new patients |
| Center for Personal Wellness, LLC | Single Specialty | Current |
Accepting new patients |
| JTDM Family Practice LLC | Single Specialty | Past |
Accepting new patients |
Locations
86 N Hanover St
Minster, OH 45865
Phone (419) 230-5845
4 Eagle Dr
Ste A
Minster, OH 45865
Phone (419) 394-9579
110 S Stanfield Rd
Ste C
Troy, OH 45373
Phone (937) 787-6859
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | APRN.CNP.0038383 | OH | Yes |
Addresses
Primary practice location
4 Eagle Dr Ste a
Minster, OH 45865-9714
Mailing address
4 Eagle Dr Ste a
Minster, OH 45865-9714
Phone (419) 628-6156
Other practice location 1
22 Larrel Ln
West Milton, OH 45383-1103
Phone (937) 657-4990
Other practice location 2
110 S Stanfield Rd Ste C
Troy, OH 45373-3689
Phone (937) 787-6859
Other providers in Minster, OH
- Abby Buening
- Carecore at Minster
- Carecore at Minster
- Center for Personal Wellness, LLC
- Larita M Condon
- Cornerstone Rehabilitation LTD
- Amanda Dahlinghaus
- Andrea Kaye Dietz
- Amanda Eilerman
- Marvin Eilerman
All providers in Minster, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.