Individual provider Active NPI

Jacqueline Fournier Cook, PA

  • Medical Physician Assistant
  • Concord, NH
National Provider Identifier
1891713905
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
388 Issued in NH
Practice address
248 Pleasant St Ste 2800
Concord, NH 03301-7529
Phone
(603) 415-6464
Fax
(603) 227-7576
NPI assigned
Jul 17, 2006
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 388 NH Primary

Addresses

Primary practice location

248 Pleasant St Ste 2800
Concord, NH 03301-7529

Mailing address

248 Pleasant St Ste 2800
Concord, NH 03301-7529
Phone (603) 415-6464

Other practice location 1

372 Dorset St
South Burlington, VT 05403
Phone (802) 660-8808

Other identifiers 1

IdentifierTypeStateIssuer
3074827MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20110125000737 NH Practitioner - Physician Assistant 6406035344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Hospital IncGroup PAC ID 6103721790, 572 clinicians

Practice addresses (Care Compare)

248 Pleasant St
Concord, NH 03301-2588

250 Pleasant St
Concord, NH 03301-7559
Phone (603) 230-3138

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89 of 100Reported as apm
Quality
73.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0388NHMDNeurorehabilitation Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital, Inc. CurrentSince Jul 6, 2020 Accepting new patients
Dorset Street Dermatology Past Accepting new patients
Integrated Dermatology of South Burlington, PLLC PastSince Dec 13, 2020 Accepting new patients

Locations

246 Pleasant St
Concord, NH 03301
Phone (603) 224-1223

248 Pleasant St
Ste 2800
Concord, NH 03301
Phone (603) 224-4003

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Organizations & group practices 4

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 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1891713905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST STE 2800",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017529",
            "telephone_number": "603-415-6464",
            "fax_number": "603-227-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 PLEASANT ST STE 2800",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033017529",
            "telephone_number": "603-415-6464",
            "fax_number": "603-227-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "372 Dorset St",
            "address_purpose": "LOCATION",
            "city": "South Burlington",
            "state": "VT",
            "postal_code": "05403",
            "country_code": "US",
            "telephone_number": "802-660-8808",
            "fax_number": "802-660-4310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOURNIER COOK",
        "first_name": "JACQUELINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NH",
            "license": "388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074827",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.