JACQUELINE FOURNIER COOK (PA) – Medical Physician Assistant, NPI 1891713905
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PHYSICIAN ASSISTANT in VT
Provider Addresses for JACQUELINE FOURNIER COOK (PA)
372, Dorset Street, Dorset Street Retail Zone, South Burlington, Chittenden County, Vermont, 05403, United States
SOUTH BURLINGTON, VT 054036212
Phone: (802) 660-8808
Fax: (802) 660-4310
Type: Mailing
372 Dorset St
South Burlington, VT 05403
Phone: (802) 660-8808
Fax: (802) 660-4310
Type: Location
248 PLEASANT ST STE 2800
CONCORD, NH 033017529
Phone: (603) 415-6464
Fax: (603) 227-7576
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 58 Open Payments records for all available years, with a total value of $2,701.
Total Amount is formed as General ($2,701) + Research ($0) + Ownership ($0) = $2,701.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($618).
Total Amount
$2,701
General + Research + Ownership
Payments
58
Total payment records
General Amount
$2,701
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $618 |
| GENZYME CORPORATION | $545 |
| Janssen Biotech, Inc. | $509 |
| UCB, Inc. | $275 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $151 |
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: 2011-01-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110125000737 | I | Physician Assistant | NH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 308 | 91 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 188 | 158 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 146 | 127 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 140 | 122 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 93 | $0 |
Insurance plans in this area (ZIP 05403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NH | |
| Family Practice, Geriatric Medicine | PA | |
| Emergency Medicine | NH | |
| Emergency Medicine | NH | |
| Hospitalist, Family Practice | NH | |
| - | NH | |
| Nurse Practitioner | NH | |
| A N E S T H E S I O L O G Y | NH | |
| Emergency Medicine | NH | |
| P S Y C H I A T R Y | NH |
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