Ryan S Cook, APRN in Fairfield, OH - Medicare Nurse Practitioner

Ryan S Cook, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fairfield, Ohio. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Kettering Independent Medical Group Inc, Trinity Regional Medical Center and his current practice location is 3000 Mack Rd Ste 100, Fairfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 751-4222.

Ryan S Cook is licensed to practice in Ohio (license number APRN.CNP.19092) 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 1720478548.

Contact Information

	Ryan S Cook, APRN
	3000 Mack Rd Ste 100, Fairfield, OH 45014-5335
	(513) 751-4222
	(513) 874-3023

Map and Direction

Provider's Profile

Full Name	Ryan S Cook
Gender	Male
Speciality	Nurse Practitioner
Experience	12 Years
Location	3000 Mack Rd Ste 100, Fairfield, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ryan S Cook graduated from nursing school in 2014

NPI Data:

NPI Number: 1720478548
Provider Enumeration Date: 02/01/2015
Last Update Date: 02/23/2026

Medicare PECOS Information:

PECOS PAC ID: 2365768017
Enrollment ID: I20160620001642

Medical Identifiers

Medical identifiers for Ryan S Cook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720478548	NPI	-	NPPES
000000916710	Other	KY	ANTHEM-NICC
171432	Other	KY	SIHO-NICC
7100338960	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3009047 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.19092 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trinity Regional Medical Center	Fort dodge, IA	Hospital
Kettering Medical Center	Kettering, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kettering Independent Medical Group Inc	3173710936	602
Trinity Regional Medical Center	7315858529	144

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. Ryan S Cook allows following entities to bill medicare on his behalf.

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Ryan S Cook 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 Address	Practice Location Address
Ryan S Cook, APRN 3000 Mack Rd Ste 100, Fairfield, OH 45014-5335 Ph: (513) 751-4222	Ryan S Cook, APRN 3000 Mack Rd Ste 100, Fairfield, OH 45014-5335 Ph: (513) 751-4222

Reviews and Comments

Nurse Practitioner Nurses in Fairfield, OH

Sara Ann Slaughter, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3050 Mack Rd Ste 300, Fairfield, OH 45014 Phone: 513-751-2273
Madonna Lea Dechristopher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 Mack Rd, Fairfield, OH 45014 Phone: 513-682-1838 Fax: 513-682-9744
Natasha Nicole Neis, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3000 Mack Rd Ste 100, Fairfield, OH 45014 Phone: 513-751-4222 Fax: 513-874-3023
Tammera Phipps, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1168 N Frieda Dr, Fairfield, OH 45014 Phone: 513-907-3547
Ernest Siaw Obeng, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5808 Red Oak Dr, Fairfield, OH 45014 Phone: 513-546-6491
Latonia Yvette Cushingberry, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 154 Twin Lakes Dr, Fairfield, OH 45014 Phone: 513-628-0627
Julie Lucille Williams, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Mack Rd Ste 100, Fairfield, OH 45014 Phone: 513-751-4222 Fax: 513-874-3023

Ryan S Cook, APRN - Medicare Nurse Practitioner in Fairfield, OH