DEUNDRA T COOKE PMHNP-BC
NPI 1306312517
Nurse Practitioner - Psychiatric/Mental Health in Anderson, SC
About Deundra T Cooke Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEUNDRA T COOKE PMHNP-BC (NPI 1306312517) is an individual psychiatric/mental health provider in Anderson, South Carolina, licensed in South Carolina (22322) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Deundra T Cooke Pmhnp-bc 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 Reassignments
2Medicare enrollment records show Deundra Cooke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anderson, SC 29621
- Reassigned Medicare billing, South Carolina enrollment
- 15 clinicians in this Medicare group
Anderson, SC 29625
- Reassigned Medicare billing, South Carolina enrollment
- 11 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29621 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANDERSON, SC 29621
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 Deundra Cooke's NPI number?
The NPI number for Deundra Cooke is 1306312517. It was assigned to this individual provider in the NPPES registry on October 16, 2018.
Where is Deundra Cooke located?
Deundra Cooke practices at 102 Buford Ave, Anderson, SC 29621. The listed phone number is (864) 261-9506.
What is Deundra Cooke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Deundra Cooke enrolled in Medicare?
Yes. Deundra 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 organizations bill Medicare for Deundra Cooke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Deundra Cooke reassigns Medicare benefits to 2 organizations: Upstate Wellness Center LLC (Anderson, SC) and Ernest C. Martin, M.D., P.A. (Anderson, SC). Each 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 Deundra Cooke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Deundra Cooke accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare and 1 other insurer list Deundra 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.
When was this NPI record last updated?
The NPPES record for Deundra Cooke was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Deundra T Cooke, PMHNP-BC · NPI 1306312517
Psychiatric/Mental Health physician in Anderson, South Carolina. Individual provider, active in the CMS NPPES registry since October 16, 2018.
## Identity
- **NPI:** 1306312517 (Entity type: Individual)
- **Enumerated:** October 16, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 22322 (South Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 102 BUFORD AVE, Anderson, SC 29621-3363
- **Phone:** (864) 261-9506
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Upstate Wellness Center LLC (NPI 1871362459, Anderson, SC); Ernest C. Martin, M.D., P.A. (NPI 1871555896, Anderson, SC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** October 16, 2018
---
Source: [NPI Profile](https://npiprofile.com/npi/1306312517) · Data from the CMS NPPES public registry.