EMMA THERESE COOK (APRN) – Registered Nurse, NPI 1104545763

EMMA THERESE COOK (APRN) is a healthcare provider. based in Raymore, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 13-141304-041 (KS). The NPI Number for EMMA THERESE COOK (APRN) is 1104545763

Main info

Female
4 Years Of Experience
Name
EMMA THERESE COOK (APRN)
NPI
1104545763
Phone
(402) 536-0511
Address
1424 CAMDEN CT
Enumeration Date
25 August 2022
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
7719359876
Professional Enrollment ID
I20250428002405
Address ID
IN462781720IN7440XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for EMMA THERESE COOK (APRN)

  • 1424 CAMDEN CT

    RAYMORE, MO 640838730

    Phone: (402) 536-0511

    Mailing address matches the actual address.

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: 2025-04-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20230218000078INurse PractitionerMOTBD
I20230302001608INurse PractitionerKSTBD
I20250428002405INurse PractitionerINTBD

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 64083)

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Reviews

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Frequently asked questions

What is the standard ID for EMMA THERESE COOK (APRN) in the U.S.?
In the U.S., EMMA THERESE COOK (APRN) is identified by NPI 1104545763.
Does the public listing show EMMA THERESE COOK (APRN) as active?
EMMA THERESE COOK (APRN)'s NPI record reflects an active status in NPPES.
Which specialty label fits EMMA THERESE COOK (APRN)?
NPPES ties EMMA THERESE COOK (APRN) to Registered Nurse in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to EMMA THERESE COOK (APRN)?
EMMA THERESE COOK (APRN) is associated with Raymore, Missouri in the same public data insurers reference.
Can I export EMMA THERESE COOK (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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