Individual provider Active NPI

Jamie Cook, FNP-BC

  • Family Nurse Practitioner
  • Nacogdoches, TX
National Provider Identifier
1720538093
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
652857 Issued in TX
Practice address
3328 N University Dr
Nacogdoches, TX 75965-2681
Phone
(936) 568-3141
Fax
(936) 560-3872
NPI assigned
Oct 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 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 652857 TX Primary

Addresses

Primary practice location

3328 N University Dr
Nacogdoches, TX 75965-2681

Mailing address

3328 N University Dr
Nacogdoches, TX 75965-2681
Phone (936) 568-3141

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
I20161206000138 TX Practitioner - Nurse Practitioner 9234419441 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
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

4800 NE Stallings Dr
Nacogdoches, TX 75965-1207
Phone (936) 564-1176

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
652857TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince Jun 1, 2017 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

631 N Resler Dr
Ste 101
El Paso, TX 79912
Phone (915) 842-0676

1225 N Mound St
Nacogdoches, TX 75961
Phone (936) 559-5330

4800 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 305-5102

4800 NE Stallings Dr
Ste 1500
Nacogdoches, TX 75965
Phone (936) 715-9470

3328 N University Dr
Nacogdoches, TX 75965
Phone (936) 568-3141

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Interoperability endpoints

  • Direct secure messaging: jamie.cook.1@1438.direct.athenahealth.com
  • Direct secure messaging: jamie.cook.p118@direct.tenet.nextgenshare.com

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.

Hospital & facility affiliations 4

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": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1720538093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652681",
            "telephone_number": "936-568-3141",
            "fax_number": "936-560-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652681",
            "telephone_number": "936-568-3141",
            "fax_number": "936-560-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "652857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nacogdoches, TX

Sources for this page

Verify at the official NPI Registry.