Active NPI
Moya Racquel Cook, FNP
- Family Nurse Practitioner
- West Frankfort, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209007626
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| David F Szoke MD, | Current | 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
- 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.
-
dba Midc, LLC
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
-
- Sports Medicine (Family Medicine) Physician
- Harrisburg, IL
- NPI 1982738274
-
dba Community Healthcare Clinic
- Primary Care Clinic/Center
- Benton, IL
- NPI 1811385347
-
- Infectious Disease Physician
- Elgin, IL
- NPI 1215194717
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
dba Southern Illinois Immediate Care, LLC
- Primary Care Clinic/Center
- Marion, IL
- NPI 1962689240
-
- Family Nurse Practitioner
- Marion, IL
- NPI 1740544436
-
- Family Medicine Physician
- Marion, IL
- NPI 1720183320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.