MRS. CAROL A COOKE CRNP
NPI 1144496985
Nurse Practitioner - Family in Centerville, OH

Active since May 01, 2008PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
6438 WILMINGTON PIKE, SUITE 300, CENTERVILLE, OH 45459(937) 848-4850(937) 848-4858 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 28, 2021, Jun 10, 2019 (2 updates tracked since 2019).

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

NPI1144496985
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. CAROL A COOKECredential: CRNP
Location Address6438 WILMINGTON PIKE, SUITE 300Centerville, OH 45459
Mailing Address6438 Wilmington Pike Ste 300Centerville, OH 45459-7021 · (937) 848-4850 · Fax (937) 848-4858
Fax(937) 848-4858
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 1, 2008
Last NPPES UpdateJanuary 28, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2021
NPI 1144496985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · COA05642NP
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License RN212344 (OH)
6438 WILMINGTON PIKE, Centerville, OH 45459

Other Identifiers 3

OtherRX05642OH · Certificate To Prescribe
OtherCOA05642NPOH · License Np
Medicaid0074036OH

Accepted Insurance

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

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.

PECOS PAC ID3678724721
PECOS Enrollment IDI20121119000367
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services41 patients

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, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

Obstetrics & Gynecology
6438 WILMINGTON PIKE, SUITE 300
CENTERVILLE, OH 45459
Obstetrics & Gynecology
6438 WILMINGTON PIKE, SUITE 300
CENTERVILLE, OH 45459
Durable Medical Equipment & Medical Supplies
6438 WILMINGTON PIKE, SUITE 220
DAYTON, OH 45459
Family Medicine
6438 WILMINGTON PIKE, SUITE110
CENTERVILLE, OH 45459
Family Medicine
6438 WILMINGTON PIKE, SUITE 100
DAYTON, OH 45459
Family Medicine
6438 WILMINGTON PIKE, SUITE 100
DAYTON, OH 45459
Dentist (Prosthodontics)
6438 WILMINGTON PIKE, SUITE 205
DAYTON, OH 45459
Family Medicine
6438 WILMINGTON PIKE, SUITE 100
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.

What insurance does Carol Cooke accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer 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 with the weekly NPPES data releases published by CMS.