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TARA COOKE CRNP
NPI 1124684717
Nurse Practitioner - Gerontology in York, PA

Active since May 20, 2019PECOS EnrolledAccepts Medicare Assignment
25 MONUMENT RD STE 105, YORK, PA 17403(717) 267-6427(717) 839-2971 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Apr 11, 2023, May 20, 2019 (3 updates tracked since 2019).

About Tara Cooke Crnp NPPES

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

TARA COOKE CRNP (NPI 1124684717) is an individual gerontology provider in York, Pennsylvania, licensed in Pennsylvania (SP020470) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1124684717
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTARA COOKECredential: CRNP
Location Address25 MONUMENT RD STE 105York, PA 17403-5049
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 267-6427
Fax(717) 839-2971
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 20, 2019
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1124684717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP020470
Also ListedFamily MedicineTaxonomy 207Q00000X · License SP020470 (PA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN664671 (PA)
25 MONUMENT RD STE 105, York, PA 17403
Open in Google Maps ↗

Secondary Practice Locations 10

Location 1455 S Washington St Ste 12Gettysburg, PA 17325-2516 · Phone (717) 339-2875 · Fax (717) 334-3921
Location 22149 S Queen StYork, PA 17403-4845 · Phone (717) 356-4460 · Fax (717) 260-3326
Location 34050 N George Street ExtManchester, PA 17345-9347 · Phone (717) 356-4370 · Fax (717) 260-3316
Location 4100 Eisenhower Dr Ste 360Hanover, PA 17331-5241 · Phone (717) 646-4201 · Fax (717) 646-4202
Location 5101 W Airport RdLititz, PA 17543-9274 · Phone (717) 466-2445 · Fax (717) 466-2447
Location 696 Sofia Dr Ste 208Shrewsbury, PA 17361-5201 · Phone (717) 812-2400 · Fax (717) 812-3005
Location 72250 E Market StYork, PA 17402-2857 · Phone (717) 851-1566 · Fax (717) 812-3950
Location 8717 Town Center DrYork, PA 17408-4824 · Phone (717) 356-4240 · Fax (717) 356-4241
Location 99 Nathan LnAnnville, PA 17003-6500 · Phone (717) 639-3350 · Fax (717) 303-3546
Location 10446 N Reading RdEphrata, PA 17522-9802 · Phone (717) 738-5275 · Fax (717) 738-5278

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara Cooke Crnp 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 ID8022348473
PECOS Enrollment IDI20190926003326
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
19 suppliers100 claims100 services$36.94 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers152 claims152 services$87.56 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
19 suppliers129 claims336 services$33.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
12 suppliers58 claims196 services$19.91 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers51 claims241 services$14.83 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
16 suppliers117 claims117 services$54.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA FOUTS ROUPAS CRNP
Nurse Practitioner (Family)
25 MONUMENT RD STE 105
YORK, PA 17403
York County (717) 851-7575
WELLSPAN MEDICAL GROUP
Internal Medicine (Obesity Medicine)
25 MONUMENT RD STE 105
YORK, PA 17403
York County (717) 851-7575
MS. KELLY L DICKSON RD, LDN
Dietitian, Registered
25 MONUMENT RD STE 105
YORK, PA 17403
York County (717) 851-7575
MRS. LAUREN JANE BRYANT RDN, LDN
Dietitian, Registered
25 MONUMENT RD STE 105
YORK, PA 17403
York County (717) 951-7575
EMILY SACHS LDN
Dietitian, Registered
25 MONUMENT RD STE 105
YORK, PA 17403
York County (717) 851-7575
JOHN S. MONK JR. M.D.
Surgery
25 MONUMENT RD STE 105
YORK, PA 17403
York County (717) 851-7575
MRS. KATHERINE G BONADIO RD, LDN
Dietitian, Registered
25 MONUMENT RD STE 105
YORK, PA 17403
York County (717) 851-7575
MATTHEW BRIAN SMITH M.D.
Surgery
25 MONUMENT RD STE 105
YORK, PA 17403
York County (717) 851-7575

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 Tara Cooke's NPI number?

The NPI number for Tara Cooke is 1124684717. It was assigned to this individual provider in the NPPES registry on May 20, 2019.

Where is Tara Cooke located?

Tara Cooke practices at 25 Monument Rd Ste 105, York, PA 17403. The listed phone number is (717) 267-6427.

What is Tara Cooke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tara Cooke enrolled in Medicare?

Yes. Tara Cooke 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.

Is Tara Cooke affiliated with any hospitals?

According to CMS data, Tara Cooke is affiliated with Wellspan York Hospital.

When was this NPI record last updated?

The NPPES record for Tara Cooke was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.