MRS. CAROL A COOKE CRNP
NPI 1144496985
Nurse Practitioner - Family in Centerville, OH
About Mrs. Carol A Cooke Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CAROL A COOKE CRNP (NPI 1144496985) is an individual family provider in Centerville, Ohio, licensed in Ohio (COA05642NP) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
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
Mrs. Carol A 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.
Medicare Billing Reassignment
Medicare enrollment records show Carol Cooke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miamisburg, OH 45342
- Reassigned Medicare billing, Ohio enrollment
- 984 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Main Campus
Acute Care Hospitals · Kettering, OHKettering Health Dayton
Acute Care Hospitals · Dayton, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45459 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
CENTERVILLE, OH 45459
DAYTON, OH 45459
DAYTON, OH 45459
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 Carol Cooke's NPI number?
The NPI number for Carol Cooke is 1144496985. It was assigned to this individual provider in the NPPES registry on May 1, 2008.
Where is Carol Cooke located?
Carol Cooke practices at 6438 Wilmington Pike Suite 300, Centerville, OH 45459. The listed phone number is (937) 848-4850.
What is Carol Cooke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carol Cooke enrolled in Medicare?
Yes. Carol 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.
Which organization bills Medicare for Carol Cooke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Cooke reassigns Medicare benefits to Kettering Independent Medical Group Inc (Miamisburg, OH). 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 Carol Cooke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carol Cooke accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Carol Cooke 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.
Is Carol Cooke affiliated with any hospitals?
According to CMS data, Carol Cooke is affiliated with Kettering Health Main Campus, Kettering Health Dayton and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Carol Cooke was last updated on January 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Carol A Cooke, CRNP · NPI 1144496985
Family physician in Centerville, Ohio. Individual provider, active in the CMS NPPES registry since May 1, 2008.
## Identity
- **NPI:** 1144496985 (Entity type: Individual)
- **Enumerated:** May 1, 2008
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** COA05642NP (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6438 WILMINGTON PIKE, SUITE 300, Centerville, OH 45459
- **Phone:** (937) 848-4850 · **Fax:** (937) 848-4858
## 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:** Kettering Independent Medical Group Inc (NPI 1629387865, Miamisburg, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** January 28, 2021
- **Other identifiers:** Other RX05642 (OH); Other COA05642NP (OH); Medicaid 0074036 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1144496985) · Data from the CMS NPPES public registry.