JEFFREY S COOK CRNP
NPI 1700378403
Nurse Practitioner - Family in Dothan, AL
About Jeffrey S Cook Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEFFREY S COOK CRNP (NPI 1700378403) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-069481) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
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
Jeffrey S Cook Crnp 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 Jeffrey Cook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dothan, AL 36301
- Reassigned Medicare billing, Alabama, Florida and Georgia enrollments
- 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.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 2
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 Jeffrey Cook's NPI number?
The NPI number for Jeffrey Cook is 1700378403. It was assigned to this individual provider in the NPPES registry on May 30, 2018.
Where is Jeffrey Cook located?
Jeffrey Cook practices at 1146 Ross Clark Cir, Dothan, AL 36301. The listed phone number is (334) 618-7313.
What is Jeffrey Cook's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jeffrey Cook enrolled in Medicare?
Yes. Jeffrey 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 Jeffrey Cook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Cook reassigns Medicare benefits to Southeast Cardiology Clinic Inc. (Dothan, AL). 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 Jeffrey Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Cook accept?
Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Jeffrey 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 Jeffrey Cook was last updated on June 1, 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.
# Jeffrey S Cook, CRNP · NPI 1700378403
Family physician in Dothan, Alabama. Individual provider, active in the CMS NPPES registry since May 30, 2018.
## Identity
- **NPI:** 1700378403 (Entity type: Individual)
- **Enumerated:** May 30, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1-069481 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1146 ROSS CLARK CIR, Dothan, AL 36301
- **Phone:** (334) 618-7313
## 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:** Southeast Cardiology Clinic Inc. (NPI 1285790915, Dothan, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1700378403) · Data from the CMS NPPES public registry.