CAROLYN COOK
NPI 1790167575
Nurse Anesthetist, Certified Registered in Indianapolis, IN

Active since June 29, 2015Accepts Medicare Assignment
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256(317) 621-5890 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 4, 2025, Jul 13, 2016, Feb 8, 2016 and 2 more (5 updates tracked since 2016).

About Carolyn Cook NPPES

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

CAROLYN COOK (NPI 1790167575) is an individual nurse anesthetist, certified registered in Indianapolis, Indiana, licensed in Indiana (28190791A) and active in the NPI registry since June 2015. She is affiliated with Ascension St Vincent Jennings, maintains a secondary practice location in Lafayette, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1790167575
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCAROLYN COOK
Location Address7150 CLEARVISTA DRIndianapolis, IN 46256-1695
Mailing AddressPo Box 5545Lafayette, IN 47903-5545 · (765) 448-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 29, 2015
Last NPPES UpdateAugust 4, 20255 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1790167575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IN · 28190791A
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 28190791A (IN)
7150 CLEARVISTA DR, Indianapolis, IN 46256

Secondary Practice Location 1

Location 12600 Greenbush StLafayette, IN 47904-2477 · Phone (765) 448-8000

Other Identifiers 2

Other000000982590IN · Anthem Provider Number
Medicaid201336930IN

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

Carolyn 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.

PECOS PAC ID7315124328
PECOS Enrollment IDI20160106001249

Medicare Billing Reassignments

6

Medicare enrollment records show Carolyn Cook reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
Internal Medicine
13400 N MERIDIAN ST STE 304
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 945 clinicians in this Medicare group
Internal Medicine
5165 MCCARTY LN
Lafayette, IN 47905
  • Reassigned Medicare billing, Indiana enrollment
  • 671 clinicians in this Medicare group
Anesthesiology
601 STATE ROUTE 664 N
Logan, OH 43138
  • Reassigned Medicare billing, Indiana enrollment
  • 14 clinicians in this Medicare group
Anesthesiology
6225 N STATE HIGHWAY 161, SUITE 200
Irving, TX 75038
  • Reassigned Medicare billing, Indiana enrollment
  • 83 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Indiana enrollment
  • 287 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.

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Jennings

Critical Access Hospitals · North Vernon, IN
OwnershipVoluntary non-profit - Church
CMS Certification Number151303
Location301 Henry StNorth Vernon, IN 47265 · Jennings County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 20

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

Anesthesiology
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Anesthetist, Certified Registered
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Anesthetist, Certified Registered
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Practitioner (Family)
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Physician Assistant
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Pediatrics (Neonatal-Perinatal Medicine)
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Practitioner (Family)
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256
Nurse Anesthetist, Certified Registered
7150 CLEARVISTA DR
INDIANAPOLIS, IN 46256

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 Carolyn Cook's NPI number?

The NPI number for Carolyn Cook is 1790167575. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Carolyn Cook located?

Carolyn Cook practices at 7150 Clearvista Dr, Indianapolis, IN 46256. The listed phone number is (317) 621-5890.

What is Carolyn Cook's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Carolyn Cook enrolled in Medicare?

Yes. Carolyn 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 organizations bill Medicare for Carolyn Cook's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Cook reassigns Medicare benefits to 6 organizations: Community Physicians Of Indiana Inc (Indianapolis, IN), St. Vincent Medical Group, Inc. (Carmel, IN), Arnett Clinic, LLC (Lafayette, IN), South Central Ohio Anesthesia LLC (Logan, OH), Northstar Anesthesia Of Indiana II, LLC (Irving, TX) and 1 more organization, listed in the Medicare section above. 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 Carolyn Cook's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Cook accept?

Health plans from CareSource list Carolyn 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 Carolyn Cook affiliated with any hospitals?

According to CMS data, Carolyn Cook is affiliated with Ascension St Vincent Jennings.

When was this NPI record last updated?

The NPPES record for Carolyn Cook was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.