KOI DERRICK COOK
NPI 1568119048
Social Worker - Clinical in Moab, UT
About Koi Derrick Cook NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOI DERRICK COOK (NPI 1568119048) is an individual clinical provider in Moab, Utah, licensed in Utah (12693112-3501) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
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
Koi Derrick Cook 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 Reassignment
Medicare enrollment records show Koi Cook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Price, UT 84501
- Reassigned Medicare billing, Utah enrollment
- 32 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 84532 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Koi Cook's NPI number?
The NPI number for Koi Cook is 1568119048. It was assigned to this individual provider in the NPPES registry on March 4, 2022.
Where is Koi Cook located?
Koi Cook practices at 198 E Center St, Moab, UT 84532. The listed phone number is (435) 259-6131.
What is Koi Cook's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Koi Cook enrolled in Medicare?
Yes. Koi 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.
Which organization bills Medicare for Koi Cook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Koi Cook reassigns Medicare benefits to Four Corners Community Behavioral Health, Inc. (Price, UT). 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 Koi Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Koi Cook accept?
Health plans from Select Health list Koi 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.
When was this NPI record last updated?
The NPPES record for Koi Cook was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Koi Derrick Cook · NPI 1568119048
Clinical provider in Moab, Utah. Individual provider, active in the CMS NPPES registry since March 4, 2022.
## Identity
- **NPI:** 1568119048 (Entity type: Individual)
- **Enumerated:** March 4, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 12693112-3501 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 198 E CENTER ST, Moab, UT 84532-2430
- **Phone:** (435) 259-6131
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Four Corners Community Behavioral Health, Inc. (NPI 1487715330, Price, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1568119048) · Data from the CMS NPPES public registry.