Individual provider Active NPI

Moya Racquel Cook, FNP

  • Family Nurse Practitioner
  • West Frankfort, IL
National Provider Identifier
1760610729
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209007626 Issued in IL
Practice address
502 W St Louis St
West Frankfort, IL 62896
Phone
(618) 937-3400
Fax
(618) 937-3407
NPI assigned
Jun 30, 2009
Last updated
Mar 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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 209007626 IL Primary

Addresses

Primary practice location

502 W St Louis St
West Frankfort, IL 62896

Mailing address

405 Rushing Dr
Herrin, IL 62948-3730
Phone (618) 993-3300

Other names 1

  • Moya Racquel McElmurry Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20090929000461 IL Practitioner - Nurse Practitioner 8820144116 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants LLC CurrentSince Nov 1, 2017 Accepting new patients
Metro Infectious Disease Consultants, LLC Current Accepting new patients
Metro Infectious Disease Consultants LLC CurrentSince Nov 1, 2017 Accepting new patients
David F Szoke MD, CurrentSince May 1, 2016 Accepting new patients
Southern Illinois Medical Care Associates LLC Past Accepting new patients
Newera Healthcare, LLC Family Past Accepting new patients
Craig W. Furry Past Accepting new patients

Locations

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719

309 W Saint Louis St
Ste C
West Frankfort, IL 62896
Phone (618) 435-5444

Interoperability endpoints

  • Direct secure messaging: mcook@yourcarecommunity.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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269388800000",
    "number": "1760610729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 RUSHING DR",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483730",
            "telephone_number": "618-993-3300",
            "fax_number": "618-997-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W ST LOUIS ST",
            "city": "WEST FRANKFORT",
            "state": "IL",
            "postal_code": "62896",
            "telephone_number": "618-937-3400",
            "fax_number": "618-937-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MOYA",
        "middle_name": "RACQUEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2010-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209007626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOYA",
            "last_name": "MCELMURRY",
            "middle_name": "RACQUEL",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Frankfort, IL

Sources for this page

Verify at the official NPI Registry.