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THEIL L COOKE JR. APRN
NPI 1790326353
Nurse Practitioner - Family in Hildale, UT

Active since October 04, 2019PECOS EnrolledAccepts Medicare Assignment
1070 N HILDALE ST # 750, HILDALE, UT 84784(352) 165-4884(435) 216-5969 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Feb 1, 2023, Oct 17, 2019, Oct 4, 2019 (3 updates tracked since 2019).

About Theil L Cooke Jr. Aprn NPPES

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

THEIL L COOKE JR. APRN (NPI 1790326353) is an individual family provider in Hildale, Utah, licensed in Utah (8273152-8900) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with St. George Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790326353
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHEIL L COOKE JR.Credential: APRN
Location Address1070 N HILDALE ST # 750Hildale, UT 84784-7770
Mailing Address340 W Harker Ave # 750Colorado City, AZ 86021-6198 · (928) 377-0629 · Fax (435) 216-5969
Phone(352) 165-4884
Fax(435) 216-5969
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 4, 2019
Last NPPES UpdateFebruary 1, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1790326353 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
Licenses✔ Licensed in UT · 8273152-8900✔ Licensed in AZ · 233616
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN178632 (AZ)
1070 N HILDALE ST # 750, Hildale, UT 84784
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Secondary Practice Locations 2

Location 120 S. Colvin StColorado City, AZ 86021 · Phone (928) 377-0629
Location 23269 N Stockton Hill RdKingman, AZ 86409-3619 · Phone (928) 681-8678

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Molina Healthcare and more.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

Theil L Cooke Jr. Aprn 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 ID9739516824
PECOS Enrollment IDI20210426001670
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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
86 services29 patients
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.
46 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services12 patients

Hospital Affiliations CMS Care Compare

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

St. George Regional Hospital

Acute Care Hospitals · St George, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460021
Location1380 East Medical Center DriveSt George, UT 84790 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84784 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier24 claims24 services$19.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$102.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Theil Cooke's NPI number?

The NPI number for Theil Cooke is 1790326353. It was assigned to this individual provider in the NPPES registry on October 4, 2019.

Where is Theil Cooke located?

Theil Cooke practices at 1070 N Hildale St # 750, Hildale, UT 84784. The listed phone number is (352) 165-4884.

What is Theil Cooke's specialty?

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

Is Theil Cooke enrolled in Medicare?

Yes. Theil Cooke 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 Theil Cooke accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Molina Healthcare, Select Health and University of Utah Health Plans list Theil Cooke 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 Theil Cooke affiliated with any hospitals?

According to CMS data, Theil Cooke is affiliated with St. George Regional Hospital.

When was this NPI record last updated?

The NPPES record for Theil Cooke was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.