MRS. MARY K. COOK NP-C
NPI 1255361408
Nurse Practitioner - Family in Manchester, MO

NPI Status: Active since July 04, 2006

Contact Information

13992 MANCHESTER RD
MANCHESTER, MO
ZIP 63011
Phone: (866) 825-3227

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • PECOS Enrolled

About MARY COOK

This page provides the complete NPI Profile along with additional information for Mary Cook, a provider established in Manchester, Missouri with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1255361408 assigned on July 2006. The practitioner's primary taxonomy code is 363LF0000X with license number 045711 (MO). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1255361408
Provider Name
MRS. MARY K. COOK NP-C
Other Name
MARY K. HILGENBRINK
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
13992 MANCHESTER RD MANCHESTER, MO 63011
Location Phone
(866) 825-3227
Mailing Address
1701 N. 12TH ST QUINCY, IL 62301
Mailing Phone
(217) 222-8641
Is Sole Proprietor?
No
Enumeration Date
07-04-2006
Last Update Date
05-14-2018
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A nurse practitioner (NP) like Mary Cook is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
045711
License State
MO

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

209001740 (IL)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
P00104970OTHER (01)RAIL ROAD MEDICARE

Medicare Participation & PECOS Enrollment Status

Mary Cook is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 63011 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.32
  • Minimum New Patient Price $55.65
  • Maximum New Patient Price $169.38
  • Average New Patient Copayment $21.58
  • Minimum New Patient Copayment $13.91
  • Maximum New Patient Copayment $42.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.37
  • Minimum Established Patient Price $17.76
  • Maximum Established Patient Price $137.92
  • Average Established Patient Copayment $24.59
  • Minimum Established Patient Copayment $4.44
  • Maximum Established Patient Copayment $34.48

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MRS. MARY K. COOK NP-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255361408
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210566240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 6 + 2 + 4 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1255361408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558644583 LAUREN HAWSE RPH
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1740563758 ROBERT J FRIEDLANDER RPH
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1316220395MR. WILLIAM RICHARD THUET RPH
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1801179809 AMY R MCDONOUGH RPH
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1790069284MRS. MARY JO FAULKNER
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1366727950MR. DANIEL THOMAS PRICE RPH
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1659654432DR. ADAM ROBERT BOHN PHARM.D.
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(314) 604-9913
1376070169 ANDREA GILB PHARMD
Individual
Pharmacist13992 MANCHESTER RD
MANCHESTER, MO 63011
(636) 227-9228
1720691124DR. SHALECE NICOLE JOHNSON PHARM. D.
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1598432908 NICHOLAS MICHAEL BOHLER
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1699781047WALGREEN CO
Organization
Pharmacy13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228
1881308526 COLLEEN BELLAMY RPH
Individual
Pharmacist13992 MANCHESTER RD
BALLWIN, MO 63011
(636) 227-9228

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255361408, enumerated in the NPI registry as an "individual" on July 04, 2006

The provider is located at 13992 Manchester Rd Manchester, Mo 63011 and the phone number is (866) 825-3227

The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.32 with an average copayment of $21.58 for new patient appointments. Established patients should expect a typical charge of $98.37 and an average copayment of 24.59. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on July 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.