Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEMETRIUS PRINCESS COOK PMHNP-BC
NPI 1003482993
Nurse Practitioner - Psychiatric/Mental Health in Olive Branch, MS

Active since June 01, 2021PECOS Enrolled
9351 JOE LYON BLVD, OLIVE BRANCH, MS 38654(901) 314-3938 Get Directions Write a Review

NPPES record last updated: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2026, Aug 1, 2024, Jun 1, 2021 (3 updates tracked since 2021).

About Demetrius Princess Cook Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEMETRIUS PRINCESS COOK PMHNP-BC (NPI 1003482993) is an individual psychiatric/mental health provider in Olive Branch, Mississippi, licensed in Washington (61539761) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Everett, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003482993
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDEMETRIUS PRINCESS COOKCredential: PMHNP-BC
Location Address9351 JOE LYON BLVDOlive Branch, MS 38654-6506
Mailing Address9351 Joe Lyon BlvdOlive Branch, MS 38654-6506 · (901) 314-3938
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 1, 2021
Last NPPES UpdateOctober 19, 20263 updates tracked since enumeration
NPPES CertifiedOctober 19, 2026
✔ NPI 1003482993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in WA · 61539761✔ Licensed in TN · 29684
9351 JOE LYON BLVD, Olive Branch, MS 38654

Secondary Practice Location 1

Location 14526 Federal AveEverett, WA 98203-2132 · Phone (425) 349-6200

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Demetrius Princess Cook Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072981828
PECOS Enrollment IDI20221129000439
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Demetrius Cook reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
7556 US HIGHWAY 70
Bartlett, TN 38133
  • Reassigned Medicare billing, Tennessee enrollment
  • 17 clinicians in this Medicare group
Community/Behavioral Health
2150 WHITNEY AVE
Memphis, TN 38127
  • Reassigned Medicare billing, Tennessee enrollment
  • 86 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
54 services52 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
32 services17 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
25 services20 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
25 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38654 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Demetrius Cook's NPI number?

The NPI number for Demetrius Cook is 1003482993. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Demetrius Cook located?

Demetrius Cook practices at 9351 Joe Lyon Blvd, Olive Branch, MS 38654. The listed phone number is (901) 314-3938.

What is Demetrius Cook's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Demetrius Cook enrolled in Medicare?

Yes. Demetrius Cook is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Demetrius Cook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Demetrius Cook reassigns Medicare benefits to 2 organizations: Compassion Mental Health Inc (Bartlett, TN) and Alliance Healthcare Services (Memphis, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Demetrius Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Demetrius Cook accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list Demetrius Cook as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Demetrius Cook was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.