KIMBERLY NICOLE COOK FNP
NPI 1831423896
Nurse Practitioner - Family in Tustin, CA
About Kimberly Nicole Cook Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY NICOLE COOK FNP (NPI 1831423896) is an individual family provider in Tustin, California, licensed in California (19091) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Nicole Cook Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Cook reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Southern California Endocrine Medical Group, P.M.C.
- 3 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 92782 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Kimberly Cook's NPI number?
The NPI number for Kimberly Cook is 1831423896. It was assigned to this individual provider in the NPPES registry on September 23, 2009.
Where is Kimberly Cook located?
Kimberly Cook practices at 1 Hope Dr, Tustin, CA 92782. The listed phone number is (714) 247-0300.
What is Kimberly Cook's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Cook enrolled in Medicare?
Yes. Kimberly Cook is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Cook's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Cook reassigns Medicare benefits to Southern California Endocrine Medical Group, Pmc (Orange, CA). 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 Kimberly 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 Kimberly Cook was last updated on September 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Kimberly Nicole Cook, FNP · NPI 1831423896
Family physician in Tustin, California. Individual provider, active in the CMS NPPES registry since September 23, 2009.
## Identity
- **NPI:** 1831423896 (Entity type: Individual)
- **Enumerated:** September 23, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 19091 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HOPE DR, Tustin, CA 92782-0221
- **Phone:** (714) 247-0300 · **Fax:** (714) 259-0843
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Endocrine Medical Group, Pmc (NPI 1568471688, Orange, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1831423896) · Data from the CMS NPPES public registry.