ANNELISE COOK – Gerontology Nurse Practitioner, NPI 1013695469

ANNELISE COOK is a healthcare provider. based in Rogers, Arkansas. specializing in NURSE PRACTITIONER. They hold a License No. 22054243 (AR). The NPI Number for ANNELISE COOK is 1013695469

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ANNELISE COOK
NPI
1013695469
Phone
Not provided
Address
1233 W POPLAR ST
Enumeration Date
6 July 2023
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4796369235
Graduation Year
2023 (3 years ago)
PAC ID
1850754565
Group Practice PAC ID
0042262495
Professional Enrollment ID
I20230829001434
Address ID
AR727564245RO1233XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,410 NURSE PRACTITIONER in AR

Provider Addresses for ANNELISE COOK

  • 1233 W POPLAR ST

    ROGERS, AR 727564245

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Novo Nordisk Inc ($48).

Total Amount

$107

General + Research + Ownership

Payments

5

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230829001434INurse PractitionerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 72756)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042262495View full group profile

Reviews

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Frequently asked questions

What NPI should I save for ANNELISE COOK?
Save NPI 1013695469 if you need a stable reference for ANNELISE COOK.
Does this profile mean ANNELISE COOK is currently active?
Yes — ANNELISE COOK appears active in the national provider directory.
What field does ANNELISE COOK work in?
You can think of ANNELISE COOK as practicing within Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place ANNELISE COOK?
The snapshot lists Rogers, Arkansas for ANNELISE COOK; download NPPES for the complete set.
Is ANNELISE COOK a real provider?
This page reflects official NPPES data for NPI 1013695469. Always confirm identity and privileges with the practice and licensing boards.

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