Individual provider Active NPI

Kelly S Cook, NP

  • Family Nurse Practitioner
  • Virginia Beach, VA
National Provider Identifier
1912520164
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024179358 Issued in VA
Practice address
2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178
Phone
(757) 507-1000
Fax
(757) 507-1000
NPI assigned
May 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 0024179358 VA Primary

Addresses

Primary practice location

2025 Glenn Mitchell Dr
Virginia Beach, VA 23456-0178

Mailing address

1925 Glenn Mitchell Dr Ste 102
Virginia Beach, VA 23456-0170
Phone (757) 464-1644

Other practice location 1

301 Riverview Ave Ste 500A
Norfolk, VA 23510-1066
Phone (757) 252-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20200923003147 VA Practitioner - Nurse Practitioner 9436578515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

1925 Glenn Mitchell Dr
Suite 102
Virginia Beach, VA 23456-0170
Phone (757) 464-1644

Hospital & facility affiliations

  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care ,LLC CurrentSince Oct 16, 2021 Accepting new patients
Capital Digestive Care ,LLC Past Accepting new patients

Locations

2000 Pennsylvania Ave NW
Ste 3010
Washington, DC 20006
Phone (202) 296-3449

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

5500 Knoll North Dr
Ste 460
Columbia, MD 21045
Phone (410) 730-9363

20582 Boland Farm Rd Ste 201
Germantown, MD 20876

3280 Urbana Pike
Ste 101
Ijamsville, MD 21754
Phone (301) 810-5252

7350 Van Dusen Rd
Ste 210
Laurel, MD 20707
Phone (301) 395-5500

7350 Van Dusen Rd
Ste 410
Laurel, MD 20707
Phone (301) 498-5500

3415 Olandwood Ct
Ste 101
Olney, MD 20832
Phone (301) 340-3252

125 Potomac Psge
Ste 250
Oxon Hill, MD 20745
Phone (240) 238-0067

9711 Medical Center Dr
Ste 308
Rockville, MD 20850
Phone (301) 251-0015

6100 Executive Blvd
Ste 301
Rockville, MD 20852

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

11921 Bournefield Way
Ste 100
Silver Spring, MD 20904
Phone (240) 737-0080

113 Gainsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 436-3285

1925 Glenn Mitchell Dr
Ste 102
Virginia Beach, VA 23456
Phone (757) 464-1644

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.

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1912520164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 GLENN MITCHELL DR STE 102",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560170",
            "telephone_number": "757-464-1644",
            "fax_number": "757-363-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 GLENN MITCHELL DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234560178",
            "telephone_number": "757-507-1000",
            "fax_number": "757-507-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Riverview Ave Ste 500A",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101066",
            "country_code": "US",
            "telephone_number": "757-252-1775",
            "fax_number": "833-890-4712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "KELLY",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.