KELLY COOK CRNP
NPI 1124807326
Nurse Practitioner - Family in Hummelstown, PA
About Kelly Cook Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY COOK CRNP (NPI 1124807326) is an individual family provider in Hummelstown, Pennsylvania, licensed in Pennsylvania (SP028249) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Kelly Cook 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Cook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hummelstown, PA 17036
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,216 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 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn State Health Holy Spirit Medical Center
Acute Care Hospitals · Camp Hill, PAPenn State Health Hampden Medical Center
Acute Care Hospitals · Enola, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17036 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HUMMELSTOWN, PA 17036
HUMMELSTOWN, PA 17036
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 Kelly Cook's NPI number?
The NPI number for Kelly Cook is 1124807326. It was assigned to this individual provider in the NPPES registry on September 26, 2023.
Where is Kelly Cook located?
Kelly Cook practices at 1135 Olde W Chocolate Ave, Hummelstown, PA 17036. The listed phone number is (717) 832-2600.
What is Kelly Cook's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Cook enrolled in Medicare?
Yes. Kelly 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 organization bills Medicare for Kelly Cook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Cook reassigns Medicare benefits to The Milton S Hershey Medical Center Physicians Group (Hummelstown, PA). The 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 Kelly Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelly Cook affiliated with any hospitals?
According to CMS data, Kelly Cook is affiliated with Penn State Health Holy Spirit Medical Center and Penn State Health Hampden Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Cook was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kelly Cook, CRNP · NPI 1124807326
Family physician in Hummelstown, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 26, 2023.
## Identity
- **NPI:** 1124807326 (Entity type: Individual)
- **Enumerated:** September 26, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP028249 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1135 OLDE W CHOCOLATE AVE, Hummelstown, PA 17036-9188
- **Phone:** (717) 832-2600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Milton S Hershey Medical Center Physicians Group (NPI 1609841063, Hummelstown, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124807326) · Data from the CMS NPPES public registry.