BENJAMIN JAY COOK (NP-C) – Nurse Practitioner, NPI 1215477740

Nurse Practitioner

BENJAMIN JAY COOK (NP-C) is a healthcare provider. based in Chubbuck, Idaho. specializing in Nurse Practitioner. They hold the professional credentials NP-C. They hold a License No. 10258190-4405 (UT). The NPI Number for BENJAMIN JAY COOK (NP-C) is 1215477740

Main info

Male

10 Years Of Experience

Accepts Medicare Assignment

Name

BENJAMIN JAY COOK (NP-C)

NPI

1215477740

Phone

(208) 403-7689

Address

4605 MOUNTAIN PARK RD

Enumeration Date

2 March 2017

Last Update Date

2 March 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

8015856387

Graduation Year

2016 (10 years ago)

PAC ID

5294012282

Group Practice PAC ID

0941525273

Professional Enrollment ID

I20170428001729

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience32

Completeness75

Years active:9State licenses:1Digital endpointsOther names

Provider Addresses for BENJAMIN JAY COOK (NP-C)

4605 MOUNTAIN PARK RD
CHUBBUCK, ID 832021702
Phone: (208) 403-7689
Type: Mailing
50 N MEDICAL DR
SALT LAKE CITY, UT 841320001
Phone: (801) 581-7822
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 83202)

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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: 0941525273View full group profile

Name	Specialty	State
BREYNN ENTWISTLE (PA-C)	-	UT
DR. EDWARD M GILBERT (MD)	-	UT
JEFFREY DRUCK (MD)	Emergency Medicine	CO
HUGH F. HARNSBERGER (MD)	-	UT
JENNIFER JEAN DAVIS	A N E S T H E S I O L O G Y	UT
QUINTON ALLRED (PA-C)	Physician Assistant	UT
TAMMY L SMITH (M.D. PHD)	-	IL
FATMA BETUL TUNCER (MD)	Plastic And Reconstructive Surgery	OH
AMY ROSENBAUM (PA-C)	Physician Assistant	CA
STEVEN I. BOTT	A N E S T H E S I O L O G Y	UT