Individual provider Active NPI

Monica Cooke, APRN

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1699379784
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001362 Issued in DE
Practice address
5165 W Woodmill Dr Ste 12
Wilmington, DE 19808-4067
Phone
(302) 789-0545
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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 LG-0001362 DE Primary

Addresses

Primary practice location

5165 W Woodmill Dr Ste 12
Wilmington, DE 19808-4067

Mailing address

26 Friendship Way
Parkesburg, PA 19365-9171
Phone (484) 639-3027

Other practice location 1

2400 Butler Pike
Plymouth Meeting, PA 19462-1411
Phone (610) 941-1291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210210001181 DE Practitioner - Nurse Practitioner 7315352010 Reassigns benefits to 1 organization
I20210215000254 PA Practitioner - Nurse Practitioner 7315352010 Reassigns benefits to 1 organization
I20260601002774 CO Practitioner - Nurse Practitioner 7315352010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lighthouse Complex Care of Delaware IncGroup PAC ID 5597127373, 3 clinicians

Practice addresses (Care Compare)

Parkesburg, PA 19365
Phone (302) 304-1347

2500 Grubb Rd
Suite 123
Wilmington, DE 19810-4711
Phone (302) 304-3417

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Complex Care of Delaware Inc CurrentSince Jul 10, 2023 Accepting new patients
Lighthouse Complex Care LTD Past Accepting new patients

Locations

2500 Grubb Rd
Ste 123
Wilmington, DE 19810
Phone (302) 304-1347

Interoperability endpoints

  • Direct secure messaging: monica.cooke.1@20145.direct.athenahealth.com
  • Direct secure messaging: monica.cooke.1@30254.direct.athenahealth.com

Organizations & group practices 2

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": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1699379784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FRIENDSHIP WAY",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193659171",
            "telephone_number": "484-639-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 W WOODMILL DR STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084067",
            "telephone_number": "302-789-0545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Butler Pike",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621411",
            "country_code": "US",
            "telephone_number": "610-941-1291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOKE",
        "first_name": "MONICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.