NPIMap

Individual provider Active NPI

Terese Cook, A.C.N.P. - B.C.

  • Acute Care Nurse Practitioner
  • Saginaw, MI
National Provider Identifier
1790056471
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704266076 Issued in MI
Practice address
5400 Mackinaw Rd
5TH Floor
Saginaw, MI 48604-9515
Phone
(989) 583-5060
Fax
(989) 583-5097
NPI assigned
Jan 26, 2012
Last updated
Jun 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704266076 MI Primary
Registered Nurse 163W00000X 4704266076 MI

Addresses

Primary practice location

5400 Mackinaw Rd
5TH Floor
Saginaw, MI 48604-9515

Mailing address

1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-2794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120716000289 MI Practitioner - Nurse Practitioner 4880850098 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Center, Inc.Group PAC ID 2769387778, 488 clinicians

Practice addresses (Care Compare)

700 Cooper Ave
Saginaw, MI 48602-5383
Phone (989) 583-4220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704266076MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince May 1, 2015 Accepting new patients
Covenant Medical Center, Inc CurrentSince May 1, 2015 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Heart & Vascular Institute of Mi P.C. PastSince Jun 11, 2018 Accepting new patients

Locations

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5400 Mackinaw Rd
Fl 5
Saginaw, MI 48604
Phone (989) 583-5060

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

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.

Hospital & facility affiliations 9

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": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1790056471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 N HARRISON ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024727",
            "telephone_number": "989-583-2794",
            "fax_number": "989-583-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "5TH FLOOR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-583-5060",
            "fax_number": "989-583-5097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TERESE",
        "name_prefix": "Mrs.",
        "credential": "A.C.N.P. - B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704266076",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704266076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.