Individual provider Active NPI

Jacqueline Siegrid Cook, FNP-C

  • Family Nurse Practitioner
  • College Station, TX
National Provider Identifier
1659840320
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP138895 Issued in TX
Practice address
4421 State Highway 6 S Ste 100
College Station, TX 77845-6176
Phone
(979) 731-5200
Fax
(979) 731-5210
NPI assigned
Nov 24, 2018
Last updated
Apr 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 AP138895 TX Primary

Addresses

Primary practice location

4421 State Highway 6 S Ste 100
College Station, TX 77845-6176

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (800) 994-0371

Other practice location 1

1700 University Dr E Fl 162
College Station, TX 77840-2661
Phone (979) 207-3636

Other identifiers 1

IdentifierTypeStateIssuer
AP138895OtherTXBOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcook1390812@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190308001049 TX Practitioner - Nurse Practitioner 6709125743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott and White ClinicGroup PAC ID 8123923604, 2,426 clinicians
St Joseph Regional Health CenterGroup PAC ID 5294727921, 141 clinicians

Practice addresses (Care Compare)

1280 Arrington Rd
Suite 200
College Station, TX 77845-8696
Phone (979) 207-6550

1700 University Dr E
College Station, TX 77840-2661
Phone (979) 691-3300

1700 University Dr E Entrance 16
Care Clinic College Station University Dr
College Station, TX 77840-2661
Phone (979) 207-3636

2010 E Villa Maria Rd
Suite a
Bryan, TX 77802-2583
Phone (979) 731-5200

2700 E 29TH St
Suite 240
Bryan, TX 77802-2586
Phone (979) 690-4816

2801 Franciscan Dr
Bryan, TX 77802-2544
Phone (979) 776-2401

4401 State Hwy 6 S
College Station, TX 77845-4428
Phone (979) 690-4480

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Current Accepting new patients
Scott & White Clinic CurrentSince Jan 21, 2025 Accepting new patients
St. Joseph Regional Health Center Family CurrentSince Apr 8, 2019 Accepting new patients
St Joseph Regional Health Center CurrentSince Apr 8, 2019 Accepting new patients
Scott & White Clinic CurrentSince Jan 21, 2025 Accepting new patients
BCS Ez Lab LLC PastSince May 16, 2022 Accepting new patients
College Station Hospital LP Past Accepting new patients
Scott & White Hospital - Taylor PastSince Apr 1, 2025 Accepting new patients

Locations

2010 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 821-7373

2010 E Villa Maria Rd
Ste A
Bryan, TX 77802
Phone (409) 776-7513

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550

1700 University Dr E
Fl 162
College Station, TX 77840
Phone (979) 207-3636

4421 State Highway 6 S
Ste 100
College Station, TX 77845
Phone (979) 731-5200

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100

Interoperability endpoints

  • Direct secure messaging: jacqueline.cook@sjrhc.eclinicaldirectplus.com
  • Direct secure messaging: jcook1390812@direct.sw.org
  • Direct secure messaging: jcook456234@direct.stlukeshealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1659840320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "800-994-0371",
            "fax_number": "254-215-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 STATE HIGHWAY 6 S STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456176",
            "telephone_number": "979-731-5200",
            "fax_number": "979-731-5210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 University Dr E Fl 162",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778402661",
            "country_code": "US",
            "telephone_number": "979-207-3636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "JACQUELINE",
        "middle_name": "SIEGRID",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-24",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP138895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING",
            "identifier": "AP138895",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcook1390812@direct.sw.org",
            "affiliation": "N",
            "address_1": "1700 University Dr E Fl 162",
            "city": "College Station",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778402661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.