Look up the most recent NPI and PECOS records

Nathaniel Thomas Mccook

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1735 W 540 N Apt 2003, Saint George, UT 84770-1658

PECOS Enrollment

This provider is enrolled in PECOS as NATHANIEL MCCOOK.

Based on the most recent information from CMS, provider Nathaniel Thomas Mccook is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1811695901
Provider Type
Individual
Full Name
Mccook, Nathaniel Thomas
Credential
FNP-C

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/20/2023
Last Updated
2/20/2023

Contact Information

Practice Location

1735 W 540 N Apt 2003, Saint George, UT 84770-1658

(480) 298-0235

Unlisted Fax

Mailing Location

1735 W 540 N Apt 2003, Saint George, UT 84770-1658

(480) 298-0235

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 10653937-4405 Utah

Nathaniel Thomas Mccook

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Miner, Jennica Marlee

Johnson, Michelle Nicole

Remer, Taylor Rae

Quintanilla, Matias Miguel

Steed, Staci

Lamb, Christopher George

Webb, Dorian Trane

Moyes, Meredith L

Langston Kirkland, Jilleen

Lewis, Brandon