HEATHER NICOLE MCCOOK (CNM) – Midwife, NPI 1124754148

HEATHER NICOLE MCCOOK (CNM) is a healthcare provider. based in Keizer, Oregon. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM. They hold a License No. 202201186NP-PP (OR). The NPI Number for HEATHER NICOLE MCCOOK (CNM) is 1124754148

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER NICOLE MCCOOK (CNM)
NPI
1124754148
Phone
(971) 413-2414
Address
426 KESTREL ST N
Enumeration Date
1 August 2022
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035382698
Graduation Year
2021 (5 years ago)
PAC ID
3971942160
Group Practice PAC ID
8527054014
Professional Enrollment ID
I20240422000456
Address ID
OR971327521NE1003XDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

192 CERTIFIED NURSE MIDWIFE (CNM) in OR

Provider Addresses for HEATHER NICOLE MCCOOK (CNM)

  • 426 KESTREL ST N

    KEIZER, OR 973035312

    Phone: (971) 413-2414

    Type: Mailing

  • 3825 WOLVERINE ST NE

    SALEM, OR 973051201

    Phone: (888) 875-7820

    Type: Location

  • 7650 SW BEVELAND RD STE 200

    PORTLAND, OR 972238692

    Phone: (503) 601-3615

    Fax: (503) 646-1683

    Type: Mailing

  • 1003 N PROVIDENCE DR STE 340

    NEWBERG, OR 971327521

    Phone: (503) 538-2698

    Fax: (503) 554-9328

    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: 2024-04-22

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
I20240422000456ICertified Nurse Midwife (Cnm)ORTBD

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 97303)

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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: 8527054014View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YOR
-OR
Certified Nurse Midwife (Cnm)OR
O B S T E T R I C S/ G Y N E C O L O G YOH
-OR
Certified Nurse Midwife (Cnm)OR
O B S T E T R I C S/ G Y N E C O L O G YUT
-OR
Certified Nurse Midwife (Cnm)TN
-OR

Reviews

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Frequently asked questions

Is there an official ID for HEATHER NICOLE MCCOOK (CNM) in U.S. healthcare records?
The official identifier for HEATHER NICOLE MCCOOK (CNM) is NPI 1124754148.
Would HEATHER NICOLE MCCOOK (CNM) appear as active to a payer?
You can treat HEATHER NICOLE MCCOOK (CNM) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is HEATHER NICOLE MCCOOK (CNM)?
HEATHER NICOLE MCCOOK (CNM) is associated with Midwife in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for HEATHER NICOLE MCCOOK (CNM)?
Travel planning: use Keizer, Oregon as the reference point for HEATHER NICOLE MCCOOK (CNM), then confirm.
When was this NPI issued?
Enumeration for HEATHER NICOLE MCCOOK (CNM) is noted as August 1, 2022 where the registry provides it.

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