Desiree Dawn Cook, CPNP-PC, PMHNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

126978 Issued in AK

Practice address

3750 E. Country Field Circle
Suite C
Wasilla, AK 99654

Phone

(907) 357-2955

Fax

(907) 357-9348

NPI assigned

Nov 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ketamine Wellness Institute, LLCGroup PAC ID 4789038928, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ketamine Wellness Institute, LLC

  • Pain Medicine (Anesthesiology) Physician
  • Chapel Hill, NC
  • NPI 1740066216

  AK

  Medicare reassignment Care Compare group NPD
• Mat-Su Community Pediatrics, P.C.

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1003142621
  NPD (past)
• Ptarmigan Connections, LLC

  • Pediatrics Physician
  • Wasilla, AK
  • NPI 1164942314
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1831602341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 E MERIDIAN PARK LOOP STE 200",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547242",
            "telephone_number": "907-357-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 E. COUNTRY FIELD CIRCLE",
            "address_2": "SUITE C",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "99654",
            "telephone_number": "907-357-2955",
            "fax_number": "907-357-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "DESIREE",
        "middle_name": "DAWN",
        "credential": "CPNP-PC, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AK",
            "license": "126978",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AK",
            "license": "2023001598",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Mary Conti, RN
• Continental Behavioral Solutions LLC
• Alexandria Cook
• Angelina Roschelle Cook
• Brittney Cook
• Jim Mattson Cook, D.O.
• John Allan Cook, LCSW
• Logan Lee Cook, COUNSELOR TECHNICIAN
• Tyra Cook
• Mekayla Rose Cooks

• Pediatric Nurse Practitioner in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Pediatric Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.

Verify at the official NPI Registry.