Bryan Cooke, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Kingsport, TN

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Bryan Cooke, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kingsport, Tennessee. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sbh-davenport Llc and his current practice location is 1025 Executive Park Blvd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 571-2249.

Bryan Cooke is licensed to practice in Tennessee (license number 38701) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942195607.

Contact Information

Bryan Cooke, MSN, APRN, PMHNP-BC
1025 Executive Park Blvd,
Kingsport, TN 37660-4620
(423) 571-2249
(423) 571-2249

Map and Direction




Provider's Profile

Full NameBryan Cooke
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location1025 Executive Park Blvd, Kingsport, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Bryan Cooke graduated from nursing school in 2025
  NPI Data:
  • NPI Number: 1942195607
  • Provider Enumeration Date: 06/11/2025
  • Last Update Date: 06/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163900861
  • Enrollment ID: I20260321000288

Medical Identifiers

Medical identifiers for Bryan Cooke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942195607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 38701 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sbh-davenport Llc175970275611

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bryan Cooke allows following entities to bill medicare on his behalf.
Entity NameSbh-davenport LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023817475
PECOS PAC ID: 1759702756
Enrollment ID: O20210107001935
Entity NameMedpsych Inc PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962828137
PECOS PAC ID: 2264655877
Enrollment ID: O20240516003103

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan Cooke is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bryan Cooke, MSN, APRN, PMHNP-BC
114 Adolphus Cordell Rd,
Roan Mountain, TN 37687-3238

Ph: (423) 612-2880		Bryan Cooke, MSN, APRN, PMHNP-BC
1025 Executive Park Blvd,
Kingsport, TN 37660-4620

Ph: (423) 571-2249

Reviews and Comments


Nurse Practitioner Nurses in Kingsport, TN

Shae Peters,
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Phone: 423-245-6000    Fax: 423-245-4190
Mrs. Cathy A Greenwood, FNP-BC
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Practice Location: 3136 Winesap Rd, Kingsport, TN 37663
Phone: 423-726-2077    
Lauren Ernst Curry, APRN, FNP-C
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Sherry Lynn Goode, NP
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Medicare: Medicare Enrolled
Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-3628    Fax: 423-224-3629
Patrina Nicolyn Cradic, FNP-C
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Practice Location: 130 W Ravine Rd, Kingsport, TN 37660
Phone: 423-224-4000    
Suzanne C. Dargan, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 105 W Stone Dr Ste 1f, Kingsport, TN 37660
Phone: 423-230-2420    Fax: 423-230-2422
Amanda M Malone, MSN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1242 W Shipley Ferry Rd, Kingsport, TN 37663
Phone: 423-239-7300    Fax: 423-239-7607

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.