NANCY MARIA KANARSKI COOK PA
NPI 1225702913
Physician Assistant in Kingsport, TN

NPI Status: Active since August 05, 2021

Contact Information

444 CLINCHFIELD ST STE 103
KINGSPORT, TN
ZIP 37660
Phone: (423) 578-1518

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  • Individual
  • Female
  • Years of Experience 4
  • Physician Assistant
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About NANCY COOK

Nancy Cook is a primary care provider established in Kingsport, Tennessee and her medical specialization is Physician Assistant with more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1225702913 assigned on August 2021. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and her NPI record was last updated February 2024.

NPI
1225702913
Provider Name
NANCY MARIA KANARSKI COOK PA
Gender
Female
Entity Type
Individual
Location Address
444 CLINCHFIELD ST STE 103 KINGSPORT, TN 37660
Location Phone
(423) 578-1518
Mailing Address
1021 W OAKLAND AVE STE 310 JOHNSON CITY, TN 37604
Mailing Phone
(423) 302-6565
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
08-05-2021
Last Update Date
02-28-2024
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A primary care provider (PCP) like Nancy Cook sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Nancy Cook is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.08 for a new patient copayment and $17.19 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from Arkansas Health & Wellness

    • Choice Bronze HSA (QualChoice) - POS
    • Complete Gold - PPO
    • Complete Gold + Vision + Adult Dental - PPO
    • Complete Silver - PPO
    • Complete Silver + Vision + Adult Dental - PPO
    • Connected Silver - PPO
    • Connected Silver (QualChoice) - POS
    • Connected Silver (QualChoiceLife) - PPO
    • Connected Silver + Vision + Adult Dental - PPO
    • Elite Bronze - PPO
  • Ambetter from Home State Health

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Gold - EPO
    • Clear Gold + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
  • Ambetter from Magnolia Health

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA with Walgreens - HMO
    • Choice Bronze HSA with Walgreens + Vision + Adult Dental - HMO
    • Clear Silver with Walgreens - HMO
    • Clear Silver with Walgreens + Vision + Adult Dental - HMO
    • Complete Gold with Walgreens - HMO
    • Complete Gold with Walgreens + Vision + Adult Dental - HMO
    • Complete Silver with Walgreens - HMO
  • Ambetter from Peach State Health Plan

    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Clear Bronze - HMO
    • Clear Bronze + Vision + Adult Dental - HMO
    • Clear Gold - HMO
    • Clear Gold + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Complete Gold - HMO
    • Complete Gold + Vision + Adult Dental - HMO
  • Ambetter of Alabama

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Everyday Bronze - EPO
    • Everyday Bronze + Vision + Adult Dental - EPO
    • Everyday Silver - EPO
    • Everyday Silver + Vision + Adult Dental - EPO
  • Ambetter of North Carolina

    • Ambetter Virtual Access Bronze (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Gold (Virtual PCP selection required) - HMO
    • Ambetter Virtual Access Silver (Virtual PCP selection required) - HMO
    • Choice Bronze HSA - HMO
    • Choice Bronze HSA + Vision + Adult Dental - HMO
    • Choice Bronze HSA with Atrium Health - HMO
    • Choice Bronze HSA with Atrium Health + Vision + Adult Dental - HMO
    • Clear Silver - HMO
    • Clear Silver + Vision + Adult Dental - HMO
    • Clear Silver with Atrium Health - HMO
  • Ambetter of Tennessee

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Clear Silver - EPO
    • Clear Silver + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
  • BlueCross BlueShield of Tennessee

    • BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B15S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross B16S $50 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G06S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G07S $10 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross G08S $30 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S04S $0 Virtual Care for Medical & Mental Health - EPO
    • BlueCross S24S $35 PCP Copay + $0 Virtual Care for Medical & Mental Health - EPO
  • Cigna Healthcare

    • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
    • Connect Bronze 5500 Indiv Med Deductible - EPO
    • Connect Bronze 6500 Indiv Med Deductible - EPO
    • Connect Bronze 8500 Indiv Med Deductible - EPO
    • Connect Bronze CMS Standard - EPO
    • Connect Gold 500 Indiv Med Deductible - EPO
    • Connect Gold CMS Standard - EPO
    • Connect Silver 0 Indiv Med Deductible - EPO
    • Connect Silver 3000 Indiv Med Deductible - EPO
    • Connect Silver 4000 Indiv Med Deductible - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Nancy Cook is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2860898814

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210831001469

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37660 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.32
  • Minimum New Patient Price $54.58
  • Maximum New Patient Price $167.19
  • Average New Patient Copayment $21.08
  • Minimum New Patient Copayment $13.64
  • Maximum New Patient Copayment $41.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $68.78
  • Minimum Established Patient Price $16.86
  • Maximum Established Patient Price $136.82
  • Average Established Patient Copayment $17.19
  • Minimum Established Patient Copayment $4.21
  • Maximum Established Patient Copayment $34.2

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nancy Cook is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
WELLMONT HOLSTON VALLEY MEDICAL CENTER130 WEST RAVINE ROAD
KINGSPORT, TN 37662
(423) 224-4000Acute Care Hospitals
LONESOME PINE HOSPITAL1990 HOLTON AVENUE EAST
BIG STONE GAP, VA 24219
(276) 523-8726Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1225702913
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2245140492
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 4 + 5 + 1 + 4 + 0 + 4 + 9 + 2 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1225702913 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871790691MR. DAVID MATTHEW PRYPUTNIEWICZ MD
Individual
Neurological Surgery444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518
1083897086DR. JON WILLIAM TAVEAU
Individual
Neurological Surgery444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518
1174924922 TRAVIS PATTON
Individual
Physician Assistant (Medical)444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518
1487130977 CHELSEY GRIFFITHS PA-C
Individual
Physician Assistant (Surgical)444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518
1831882968 CHRISTOPHER ADAMS PA-C
Individual
Physician Assistant (Surgical)444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518
1033156807MR. STEVEN J MCLAUGHLIN PA
Individual
Physician Assistant (Surgical)444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518
1295273480 BRYAN DALE CARTER PA
Individual
Physician Assistant444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518
1518675388 ISAAC JOHN MCMURRAY
Individual
Nurse Practitioner (Family)444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518
1649656240 BONNIE HENLEY FNP
Individual
Nurse Practitioner (Family)444 CLINCHFIELD ST STE 103
KINGSPORT, TN 37660
(423) 578-1518

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225702913, enumerated in the NPI registry as an "individual" on August 05, 2021

The provider is located at 444 Clinchfield St Ste 103 Kingsport, Tn 37660 and the phone number is (423) 578-1518

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider has more than 4 years of experience.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.32 with an average copayment of $21.08 for new patient appointments. Established patients should expect a typical charge of $68.78 and an average copayment of 17.19. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): WELLMONT HOLSTON VALLEY MEDICAL CENTER and LONESOME PINE HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 05, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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