MS. LACI NICOLE COOK CPNP
NPI 1073906749
Nurse Practitioner - Pediatrics in Holbrook, NY
About Ms. Laci Nicole Cook Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LACI NICOLE COOK CPNP (NPI 1073906749) is an individual pediatrics provider in Holbrook, New York, licensed in New York (20142655) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Laci Nicole Cook Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Laci Cook reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Great Neck, NY 11021
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Laci Cook's NPI number?
The NPI number for Laci Cook is 1073906749. It was assigned to this individual provider in the NPPES registry on March 5, 2015.
Where is Laci Cook located?
Laci Cook practices at 270 Union Ave, Holbrook, NY 11741. The listed phone number is (631) 588-4442.
What is Laci Cook's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Laci Cook enrolled in Medicare?
Yes. Laci Cook is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Laci Cook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laci Cook reassigns Medicare benefits to 2 organizations: North Shore-Lij Medical PC (Great Neck, NY) and Optum Medical Care, P.C. (Mount Kisco, NY). 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 Laci Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Laci Cook was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Ms. Laci Nicole Cook, CPNP · NPI 1073906749
Pediatrics physician in Holbrook, New York. Individual provider, active in the CMS NPPES registry since March 5, 2015.
## Identity
- **NPI:** 1073906749 (Entity type: Individual)
- **Enumerated:** March 5, 2015
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 20142655 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 270 UNION AVE, Holbrook, NY 11741-1823
- **Phone:** (631) 588-4442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Shore-Lij Medical PC (NPI 1053688572, Great Neck, NY); Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1073906749) · Data from the CMS NPPES public registry.