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TAMIKA ALISHIA COOKE AGPCNP-C
NPI 1154078814
Nurse Practitioner - Gerontology in Clewiston, FL

Active since March 03, 2022PECOS Enrolled
1012 MISSISSIPPI AVE, CLEWISTON, FL 33440(863) 254-7363 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 10, 2023, Jul 24, 2023, Mar 3, 2022 (3 updates tracked since 2022).

About Tamika Alishia Cooke Agpcnp-c NPPES

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

TAMIKA ALISHIA COOKE AGPCNP-C (NPI 1154078814) is an individual gerontology provider in Clewiston, Florida, licensed in Florida (APRN11018391) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154078814
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTAMIKA ALISHIA COOKECredential: AGPCNP-C
Location Address1012 MISSISSIPPI AVEClewiston, FL 33440-5511
Mailing AddressPo Box 824Clewiston, FL 33440-0824 · (863) 254-7363
Phone(863) 254-7363
Sole ProprietorYes
Enumeration DateMarch 3, 2022
Last NPPES UpdateOctober 10, 20233 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1154078814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in FL · APRN11018391
1012 MISSISSIPPI AVE, Clewiston, FL 33440
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tamika Alishia Cooke Agpcnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Tamika Cooke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Department Of Health
13 mi
Public Health or Welfare
1021 HEALTH PARK DR
Moore Haven, FL 33471
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1215906938 (863) 946-0707

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 33440 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES

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

HYDRATONIC MED SPA, LLC
Clinic/Center (Primary Care)
1012 MISSISSIPPI AVE
CLEWISTON, FL 33440
Hendry County (863) 254-7363

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 Tamika Cooke's NPI number?

The NPI number for Tamika Cooke is 1154078814. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Tamika Cooke located?

Tamika Cooke practices at 1012 Mississippi Ave, Clewiston, FL 33440. The listed phone number is (863) 254-7363.

What is Tamika Cooke's specialty?

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

Is Tamika Cooke enrolled in Medicare?

Yes. Tamika Cooke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tamika Cooke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamika Cooke reassigns Medicare benefits to Florida Department Of Health (Moore Haven, FL). 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 Tamika Cooke'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 Tamika Cooke was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.