Individual provider Active NPI

Kimberly Ann Cook, CNP

  • Family Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1780426825
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0036593 Issued in OH
Practice address
300 Polaris Pkwy Ste 230
Westerville, OH 43082-7989
Phone
(614) 533-3354
Fax
(614) 533-3496
NPI assigned
Jun 10, 2024
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0036593 OH Primary
Nurse Practitioner 363L00000X APRN.CNP.0036593 OH

Addresses

Primary practice location

300 Polaris Pkwy Ste 230
Westerville, OH 43082-7989

Mailing address

PO Box 7527
Dublin, OH 43017-0727

Other practice location 1

240 Parsons Ave
Columbus, OH 43215-5331
Phone (614) 645-7417

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kcook356652@direct.ohiohealth.com OhioHealth Physician Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260217001809 OH Practitioner - Nurse Practitioner 8820578016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

300 Polaris Pkwy
Suite 230
Westerville, OH 43082-7989
Phone (614) 533-3354

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0036593OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Columbus CurrentSince Dec 29, 2025 Accepting new patients
City of Columbus Past Accepting new patients
City of Columbus Past Accepting new patients
Ohiohealth Corporation PastSince Apr 1, 2026 Accepting new patients
Ohiohealth Corporation PastSince Apr 1, 2026 Accepting new patients

Locations

240 Parsons Ave
Columbus, OH 43215
Phone (614) 645-6792

Interoperability endpoints

  • Direct secure messaging: kcook356652@direct.ohiohealth.com
  • Direct secure messaging: kimberly.cook.p17@direct.columbuspublichealth.nextgenshare.com

Organizations & group practices 5

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1780426825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 POLARIS PKWY STE 230",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827989",
            "telephone_number": "614-533-3354",
            "fax_number": "614-533-3496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155331",
            "country_code": "US",
            "telephone_number": "614-645-7417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0036593",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0036593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcook356652@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group, Inc.",
            "address_1": "300 Polaris Pkwy Ste 230",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430827989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.