Moya Racquel Cook, FNP

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

Sex

Female

Sole proprietor

No

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.

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  IL

  Medicare reassignment NPD
• Integrated Health of Southern Illinois, LTD.

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  IL

  Medicare reassignment
• David F Szoke MD,

  • Primary Care Clinic/Center
  • Benton, IL
  • NPI 1811385347
  NPD
• Metro Infectious Disease Consultants LLC

  • Infectious Disease Physician
  • Elgin, IL
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  NPD
• Metro Infectious Disease Consultants LLC

  • Infectious Disease Physician
  • Jonesboro, GA
  • NPI 1770307191
  NPD
• Craig W. Furry

  • Primary Care Clinic/Center
  • Marion, IL
  • NPI 1962689240
  NPD (past)
• Newera Healthcare, LLC

  • Family Nurse Practitioner
  • Marion, IL
  • NPI 1740544436

  Family

  NPD (past)
• Southern Illinois Medical Care Associates LLC

  • Family Medicine Physician
  • Marion, IL
  • NPI 1720183320
  NPD (past)

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mcook@yourcarecommunity.org

• Moya Racquel McElmurry Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2010.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "80077375",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "33308",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "103788",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATTACHMENT",
            "identifier": "10019630",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CONNECT",
            "identifier": "10800012002",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36062597",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOYA",
            "last_name": "MCELMURRY",
            "middle_name": "RACQUEL",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Coleman
• Jennifer Coleman, BS
• Reighan Corwin Coley, BS
• Complete Family Eyecare of West Frankfort, PC
• Elizabeth Connell
• Steven Copeland
• Tracie Cravens, MSN
• Emily Crowell, LCSW
• Janine Curry-Kohl
• Joshua Alan Cykert, PHARMD

• All providers in West Frankfort, IL
• Family Nurse Practitioner in Illinois

• 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.

Verify at the official NPI Registry.