DR. EMILY COOK (DO) – Family Medicine Physician, NPI 1508124264
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,080 FAMILY PRACTICE in MN
Provider Addresses for DR. EMILY COOK (DO)
12600 Whitewater Dr Ste 125
Minnetonka, MN 553434602
Phone: (952) 562-1235
Type: Location
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 387-6200
Type: Mailing
2131 S 17TH ST
WILMINGTON, NC 284017407
Phone: (910) 772-9202
Fax: (910) 772-9452
Type: Location
25 S MAIN ST STE 202
CENTERVILLE, UT 840141840
Phone: (801) 663-6656
Fax: (801) 810-1696
Type: Location
620 E 1200 N
BOUNTIFUL, UT 840102633
Phone: (480) 570-2580
Type: Mailing
1538 27TH ST
OGDEN, UT 844030411
Phone: (480) 570-2580
Fax: (480) 879-2526
Type: Mailing
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: 2025-03-14
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150812008797 | I | Family Practice | UT | TBD |
| I20250314001235 | I | Family Practice | MN | TBD |
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.
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 55343)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Marriage And Family Therapist | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN | |
| Mental Health Counselor | MN |
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