Individual provider Active NPI

Mary Cook, ARNP

  • Family Nurse Practitioner
  • Bozeman, MT
National Provider Identifier
1861639619
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
103234 Issued in MT
Practice address
1807 W Dickerson St Ste D
Bozeman, MT 59715-1311
Phone
(406) 404-7384
NPI assigned
Jan 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 103234 MT Primary

Addresses

Primary practice location

1807 W Dickerson St Ste D
Bozeman, MT 59715-1311

Mailing address

1807 W Dickerson St Ste D
Bozeman, MT 59715-1311
Phone (406) 404-7384

Other identifiers 1

IdentifierTypeStateIssuer
7128408MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103234MTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jan 10, 2024 Accepting new patients
Painted Hills Psychiatry Family Current Accepting new patients
Bridgercare CurrentSince Sep 1, 2021 Accepting new patients
Billings Clinic CurrentSince Jan 10, 2024 Accepting new patients
Billings Clinic Current Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

1807 W Dickerson St
Ste D
Bozeman, MT 59715
Phone (406) 404-7384

300 N Willson Ave
Ste 2001
Bozeman, MT 59715
Phone (406) 578-0681

3905 Wellness Way
Bozeman, MT 59718
Phone (406) 587-9202

1288 N 14th Ave
Ste 201
Bozeman, MT 59715
Phone (406) 587-0681

Interoperability endpoints

  • Direct secure messaging: mcook4@billingsclinic.cernerdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1861639619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W DICKERSON ST STE D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597151311",
            "telephone_number": "406-404-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W DICKERSON ST STE D",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597151311",
            "telephone_number": "406-404-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2024-07-15",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "103234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128408",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.