Active NPI
Elizabeth Cook, ARNP-C
- Adult Health Nurse Practitioner
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- ARNP9414152
- Practice address
- 3627 University Blvd S Ste 550
Jacksonville, FL 32216-7401 - Phone
- (904) 379-5986
- Fax
- (904) 551-0282
- NPI assigned
- Mar 3, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | ARNP9414152 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | ARNP9414152 | FL | Primary |
Addresses
Primary practice location
3627 University Blvd S Ste 550
Jacksonville, FL 32216-7401
Mailing address
PO Box 370
Fortson, GA 31808-0370
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003184432A | Medicaid | GA | |
| 019164600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15255 Max Leggett Pkwy
Jacksonville, FL 32218-7273
Phone (904) 383-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 59.59 of 100
- Quality
- 59.93
- Promoting interoperability
- 0
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9414152 | FL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians, Inc. | Current | Accepting new patients | |
| University of Florida Jacksonville Physicians Inc | Current | Accepting new patients |
Locations
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
15255 Max Leggett Pkwy
Ste 6600
Jacksonville, FL 32218
Phone (904) 383-1000
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
Interoperability endpoints
- ecook216742@direct.shands.ufl.edu
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1144276452
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1679733943
-
dba UF Health Imaging Center-Baymeadows
- Physiological Laboratory
- Jacksonville, FL
- NPI 1831800952
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1144962408
Hospital
-
dba Shands Jacksonville
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1821186313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1831559798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"fax_number": "706-494-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3627 UNIVERSITY BLVD S STE 550",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322167401",
"telephone_number": "904-379-5986",
"fax_number": "904-551-0282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ELIZABETH",
"credential": "ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-03",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "ARNP9414152",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP9414152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003184432A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019164600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.