SAMANTHA JANE COOK FNP
NPI 1366174377
Nurse Practitioner - Family in Provo, UT

Active since June 28, 2022PECOS EnrolledAccepts Medicare Assignment
395 W COUGAR BLVD STE 603, PROVO, UT 84604(801) 357-0423 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Jane Cook Fnp NPPES

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

SAMANTHA JANE COOK FNP (NPI 1366174377) is an individual family provider in Provo, Utah, licensed in Utah (10778291-4405) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366174377
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JANE COOKCredential: FNP
Location Address395 W COUGAR BLVD STE 603Provo, UT 84604-3331
Mailing Address200 S 1350 E Apt C501Lehi, UT 84043-4481 · (801) 898-1676
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 28, 2022
Last NPPES UpdateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
NPI 1366174377 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 UT · 10778291-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 10778291-3102 (UT)
395 W COUGAR BLVD STE 603, Provo, UT 84604

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

Samantha Jane Cook Fnp 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 ID3577947563
PECOS Enrollment IDI20220824002938
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.
22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Utah Valley Hospital

Acute Care Hospitals · Provo, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460001
Location1034 North 500 WestProvo, UT 84604 · Utah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 4

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

Family Medicine
395 W COUGAR BLVD STE 603
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 603
PROVO, UT 84604
Internal Medicine (Infectious Disease)
395 W COUGAR BLVD STE 603
PROVO, UT 84604
Family Medicine
395 W COUGAR BLVD STE 603
PROVO, UT 84604

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 Samantha Cook's NPI number?

The NPI number for Samantha Cook is 1366174377. It was assigned to this individual provider in the NPPES registry on June 28, 2022.

Where is Samantha Cook located?

Samantha Cook practices at 395 W Cougar Blvd Ste 603, Provo, UT 84604. The listed phone number is (801) 357-0423.

What is Samantha Cook's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Cook enrolled in Medicare?

Yes. Samantha Cook 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 Samantha Cook accept?

Health plans from Select Health list Samantha Cook 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 Samantha Cook affiliated with any hospitals?

According to CMS data, Samantha Cook is affiliated with Utah Valley Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Cook was last updated on July 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.