STACIE L COOK (M.D.) – Emergency Medicine Physician, NPI 1053672584

STACIE L COOK (M.D.) is a healthcare provider. based in Richmond, Virginia. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 0101256235 (VA). The NPI Number for STACIE L COOK (M.D.) is 1053672584

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
STACIE L COOK (M.D.)
NPI
1053672584
Phone
Not provided
Address
1602 SKIPWITH RD
Enumeration Date
31 May 2012
Last Update Date
2 July 2015

Doctor Profile

Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2406862300
Graduation Year
2012 (14 years ago)
PAC ID
7012158470
Group Practice PAC ID
8022914522
Professional Enrollment ID
I20151021001453
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for STACIE L COOK (M.D.)

  • 1602 SKIPWITH RD

    DEPARTMENT OF EMERGENCY MEDICINE

    RICHMOND, VA 232295205

    Phone:

    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: 2015-10-21

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
I20151021001453IEmergency MedicineVATBD

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
99285Emergency department visit with high level of medical decision making252247$0
99284Emergency department visit with moderate level of medical decision making7878$0
99291Critical care, first 30-74 minutes2727$0
View full utilization report →

Insurance plans in this area (ZIP 23229)

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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: 8022914522View full group profile
NameSpecialtyState
-MD
Critical Care (Intensivists), General SurgeryMD
Internal MedicineVA
Hospitalist, Internal Medicine, Internal MedicineMD
-AZ
-MD
Emergency MedicineNV
Critical Care (Intensivists), Internal MedicineNJ
Physician AssistantMD
-MD

Reviews

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Frequently asked questions

What is the 10-digit NPI for STACIE L COOK (M.D.)?
STACIE L COOK (M.D.) — NPI 1053672584 — is the standard way to identify this listing.
Does the file indicate STACIE L COOK (M.D.) is practicing under active NPI?
Directory data currently reports STACIE L COOK (M.D.) as active.
What is STACIE L COOK (M.D.)'s primary classification?
Emergency Medicine Physician is the headline specialty for STACIE L COOK (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for STACIE L COOK (M.D.)?
STACIE L COOK (M.D.)'s geographic hint is Richmond, Virginia in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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