1. Home
  2. Directory
  3. New York
  4. Syracuse
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. JESSICA R COOK NP
NPI 1417671165
Nurse Practitioner - Pediatrics in Syracuse, NY

Active since September 27, 2022PECOS Enrolled
655 MADISON STREET, SYRACUSE, NY 13210(315) 473-8700(315) 473-8707 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2026, Nov 7, 2024, Sep 27, 2022 (3 updates tracked since 2022).

About Mrs. Jessica R Cook Np NPPES

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

MRS. JESSICA R COOK NP (NPI 1417671165) is an individual pediatrics provider in Syracuse, New York, licensed in New York (383447) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417671165
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JESSICA R COOKCredential: NP
Location Address655 MADISON STREETSyracuse, NY 13210
Mailing Address251 Salina Meadows Parkway, Suite 100Syracuse, NY 13212 · (315) 464-2000 · Fax (315) 464-2010
Phone(315) 473-8700
Fax(315) 473-8707
Sole ProprietorNo
Enumeration DateSeptember 27, 2022
Last NPPES UpdateOctober 15, 20263 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1417671165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 383447
Also ListedPediatricsTaxonomy 208000000X · License 383447 (NY)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 383447 (NY)
655 MADISON STREET, Syracuse, NY 13210
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica R Cook Np 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 Jessica Cook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Suny Health Science Center At Syracuse
0.3 mi
General Acute Care Hospital
750 EAST ADAMS STREET
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 271 clinicians in this Medicare group
NPI 1184974529 (315) 464-6530

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 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Jessica Cook's NPI number?

The NPI number for Jessica Cook is 1417671165. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Jessica Cook located?

Jessica Cook practices at 655 Madison Street, Syracuse, NY 13210. The listed phone number is (315) 473-8700.

What is Jessica Cook's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jessica Cook enrolled in Medicare?

Yes. Jessica Cook is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessica Cook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Cook reassigns Medicare benefits to Suny Health Science Center At Syracuse (Syracuse, NY). 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 Jessica Cook'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 Jessica Cook was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.