Individual provider Active NPI

Darcy Renee Cook, N.P

  • Family Nurse Practitioner
  • Emmett, ID
National Provider Identifier
1629699251
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
63078 Issued in ID
Practice address
426 Hwy 16
Emmett, ID 83617
Phone
(208) 365-2735
Fax
(208) 365-2737
NPI assigned
May 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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 63078 ID Primary

Addresses

Primary practice location

426 Hwy 16
Emmett, ID 83617

Mailing address

426 Hwy 16
Emmett, ID 83617
Phone (208) 365-2735

Other names 1

  • Darcy Renee Evans Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20200610002802 ID Practitioner - Nurse Practitioner 5597186932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Black Canyon Medical Group PLLCGroup PAC ID 8123393071, 2 clinicians

Practice addresses (Care Compare)

426 Hwy 16
Emmett, ID 83617-9427
Phone (208) 365-2735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
63078IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Heights Family Clinic LLC Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Black Canyon Medical Group PLLC Family Medicine CurrentSince Oct 22, 2023 Accepting new patients
Spine Institute of Idaho P a Past Accepting new patients

Locations

426 Highway 16
Emmett, ID 83617
Phone (208) 365-2525

1560 N Crestmont Dr
Ste A
Meridian, ID 83642
Phone (208) 650-4888

1552 N Crestmont Dr
Ste B
Meridian, ID 83642

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16529/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/10048/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1629699251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 HWY 16",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "83617",
            "telephone_number": "208-365-2735",
            "fax_number": "208-365-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 HWY 16",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "83617",
            "telephone_number": "208-365-2735",
            "fax_number": "208-365-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DARCY",
        "middle_name": "RENEE",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-11-06",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "63078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARCY",
            "last_name": "EVANS",
            "middle_name": "RENEE",
            "credential": "N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.