AMANDA LYNN COOK – Family Nurse Practitioner, NPI 1285143016

AMANDA LYNN COOK is a healthcare provider. based in Cass city, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704274130 (MI). The NPI Number for AMANDA LYNN COOK is 1285143016

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA LYNN COOK
NPI
1285143016
Phone
(989) 872-2410
Address
6230 HOSPITAL DR
Enumeration Date
25 September 2017
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
SAGINAW VALLEY MEDICAL COLLEGE - NLG
Secondary Phone
9899126275
Graduation Year
2017 (9 years ago)
PAC ID
4486920329
Group Practice PAC ID
8022910363
Professional Enrollment ID
I20171020002746
Address ID
MI487261008CA4675XSTXX300

Contacts

Secure Messaging
acook69054@direct.covenanthealthcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for AMANDA LYNN COOK

  • 6230 HOSPITAL DR

    CASS CITY, MI 487261076

    Phone: (989) 872-2410

    Fax: (989) 872-2413

    Type: Location

  • 1048 E Caro Rd Ste B

    Caro, MI 487231204

    Phone: (989) 912-6575

    Fax: (989) 912-6013

    Type: Location

  • 684 N Port Crescent St

    Bad Axe, MI 484131275

    Phone: (989) 912-6575

    Type: Location

  • 4255 N Lakeshore Rd

    Port Hope, MI 484689396

    Phone: (989) 428-1000

    Fax: (989) 428-1001

    Type: Location

  • 4675 HILL ST

    CASS CITY, MI 487261008

    Phone: (989) 912-6277

    Fax: (989) 872-2413

    Type: Mailing

  • 4255, North Lakeshore Road, Port Hope, Rubicon Township, Huron County, Michigan, 48468, United States

    PORT HOPE, MI 484689396

    Phone: (989) 428-1000

    Fax: (989) 428-1001

    Type: Location

  • Harbor Beach Community Hospital, 210, South 1st Street, Harbor Beach, Huron County, Michigan, 48441, United States

    HARBOR BEACH, MI 484411236

    Phone: (989) 479-3201

    Fax: (989) 479-5003

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $708.

Total Amount is formed as General ($708) + Research ($0) + Ownership ($0) = $708.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Novo Nordisk Inc ($234).

Total Amount

$708

General + Research + Ownership

Payments

41

Total payment records

General Amount

$708

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

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: 2017-10-20

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
I20171020002746INurse PractitionerMITBD

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 48726)

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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: 8022910363View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
P O D I A T R YNC
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
Hematology/Oncology, Internal MedicineMI
Internal MedicineMI
-MI
U R O L O G YMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

Can I cross-check AMANDA LYNN COOK using NPI 1285143016?
NPI 1285143016 belongs to AMANDA LYNN COOK; compare other details if you need extra assurance.
Active or inactive — what applies to AMANDA LYNN COOK?
You should see AMANDA LYNN COOK as active in CMS-hosted NPPES data.
What expertise is attributed to AMANDA LYNN COOK?
AMANDA LYNN COOK's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with AMANDA LYNN COOK?
Directory geography for AMANDA LYNN COOK centers on Cass City, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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