MS. MILLICENT COOK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023073012

MS. MILLICENT COOK (CRNA) is a healthcare provider. based in Hattiesburg, Mississippi. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. SRA-100010 (CO). The NPI Number for MS. MILLICENT COOK (CRNA) is 1023073012

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. MILLICENT COOK (CRNA)
NPI
1023073012
Phone
(601) 261-3606
Address
415 S 28th Ave
Enumeration Date
20 April 2006
Last Update Date
9 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655468040
Graduation Year
2000 (26 years ago)
PAC ID
2860466968
Group Practice PAC ID
9931001922
Professional Enrollment ID
I20220919002522
Address ID
TN379234301KN9300XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

763 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MS

Provider Addresses for MS. MILLICENT COOK (CRNA)

  • 415 S 28th Ave

    Hattiesburg, MS 394017246

    Phone: (601) 261-3606

    Fax: (601) 579-5383

    Type: Location

  • Hattiesburg Clinic, 415, South 28th Avenue, Innswood, Hattiesburg, Forrest County, Mississippi, 39401, United States

    HATTIESBURG, MS 394017246

    Phone: (601) 261-3606

    Fax: (601) 579-5240

    Type: Mailing

  • 6019 WALNUT GROVE RD

    MEMPHIS, TN 381202113

    Phone: (901) 226-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $40.

Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.

Last reported payment date: 2023-02-14 • Largest payer in this snapshot: GE HealthCare ($22).

Total Amount

$40

General + Research + Ownership

Payments

2

Total payment records

General Amount

$40

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-14

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: 2022-09-19

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040824000950ICertified Registered Nurse Anesthetist (Crna)MSTBD
I20220919002522ICertified Registered Nurse Anesthetist (Crna)TNTBD

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
00142Anesthesia for lens surgery3129$0
View full utilization report →

Insurance plans in this area (ZIP 39401)

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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: 9931001922View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TN
-GA
-MO
-NC
Certified Registered Nurse Anesthetist (Crna)TN
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TN

Reviews

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Frequently asked questions

What federal number belongs to MS. MILLICENT COOK (CRNA)?
The federal identifier for MS. MILLICENT COOK (CRNA) is NPI 1023073012.
Is MS. MILLICENT COOK (CRNA) active in the national directory?
MS. MILLICENT COOK (CRNA)'s public NPI profile is in an active state.
Does MS. MILLICENT COOK (CRNA) list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for MS. MILLICENT COOK (CRNA). Clinical services aligned with this taxonomy classification.
Where does public data place MS. MILLICENT COOK (CRNA)?
The snapshot lists Hattiesburg, Mississippi for MS. MILLICENT COOK (CRNA); download NPPES for the complete set.
What if Hattiesburg, Mississippi seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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