JILL ILENE COOK (FNP) – Family Nurse Practitioner, NPI 1427303221

JILL ILENE COOK (FNP) is a healthcare provider. based in Champlin, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. R 206925-6 (MN). The NPI Number for JILL ILENE COOK (FNP) is 1427303221

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JILL ILENE COOK (FNP)
NPI
1427303221
Phone
(701) 880-1446
Address
11246 HIDDEN OAKS CT N
Enumeration Date
17 July 2012
Last Update Date
19 May 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
3206825225
Graduation Year
2012 (14 years ago)
PAC ID
6204087208
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20121126000392
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
jretterath293030@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for JILL ILENE COOK (FNP)

  • 11246 HIDDEN OAKS CT N

    CHAMPLIN, MN 553163038

    Phone: (701) 880-1446

    Type: Mailing

  • 9055 SPRINGBROOK DR NW

    COON RAPIDS, MN 554335841

    Phone: (701) 880-1446

    Fax: (763) 236-1066

    Type: Mailing

  • 825 NICOLLET MALL STE 300

    MINNEAPOLIS, MN 554022610

    Phone: (612) 333-8883

    Fax: (612) 317-6686

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-11-26

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
I20121126000392INurse PractitionerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9471$0
36415Insertion of needle into vein for collection of blood sample6249$0
80048Blood test, basic group of blood chemicals (calcium, total)2828$0
83036Hemoglobin a1c level2520$0
G0008Administration of influenza virus vaccine2424$0
View full utilization report →

Insurance plans in this area (ZIP 55316)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JILL ILENE COOK (FNP)?
Save NPI 1427303221 if you need a stable reference for JILL ILENE COOK (FNP).
Does this profile mean JILL ILENE COOK (FNP) is currently active?
Yes — JILL ILENE COOK (FNP) appears active in the national provider directory.
What field does JILL ILENE COOK (FNP) work in?
You can think of JILL ILENE COOK (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is JILL ILENE COOK (FNP)'s primary listing?
We display Champlin, Minnesota because that is what the record indicates for JILL ILENE COOK (FNP).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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