Individual provider Active NPI

Wyatt Myron Cook

  • Family Nurse Practitioner
  • Sheldon, IA
National Provider Identifier
1881399491
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A173793 Issued in IA
Practice address
800 Oak St
Sheldon, IA 51201-1242
Phone
(712) 324-5356
NPI assigned
Apr 3, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A173793 IA
Family Nurse Practitioner 363LF0000X A173793 IA Primary
Primary Care Nurse Practitioner 363LP2300X A173793 IA

Addresses

Primary practice location

800 Oak St
Sheldon, IA 51201-1242

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585

Other practice location 1

1001 11th St
Sheldon, IA 51201-2052
Phone (608) 482-4977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20230623002282 IA Practitioner - Nurse Practitioner 4183082100 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hegg Memorial HospitalGroup PAC ID 5193718757, shared by 4 NPIs, 44 clinicians

Practice addresses (Care Compare)

1202 21St Ave
Rock Valley, IA 51247-1420
Phone (712) 476-8000

33 4TH St NW
Sioux Center, IA 51250-1870
Phone (712) 722-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A173793IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Sioux Community Health Center Inc. CurrentSince Sep 4, 2024 Accepting new patients
Hegg Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Hegg Memorial Hospital CurrentSince Aug 1, 2023 Accepting new patients
Hegg Memorial Hospital Current Accepting new patients
Sanford Health Network Current Accepting new patients
Greater Sioux Community Health Center Inc. CurrentSince Sep 4, 2024 Accepting new patients
Hegg Medical Clinic Past Accepting new patients

Locations

1202 21st Ave
Rock Valley, IA 51247
Phone (712) 476-8000

33 4th St NW
Sioux Center, IA 51250
Phone (712) 722-1700

Interoperability endpoints

  • Direct secure messaging: wyatt.cook.1@20239.direct.athenahealth.com
  • Direct secure messaging: wyatt.cook@avera.sdhealthlink.net

Organizations & group practices 7

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 2

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1881399491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011242",
            "telephone_number": "712-324-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 11th St",
            "address_purpose": "LOCATION",
            "city": "Sheldon",
            "state": "IA",
            "postal_code": "512012052",
            "country_code": "US",
            "telephone_number": "608-482-4977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "WYATT",
        "middle_name": "MYRON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A173793",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A173793",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A173793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheldon, IA

Sources for this page

Verify at the official NPI Registry.