Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breanne Renae Cook

Individual provider Nurse Practitioner · NPI 1023648912

Breanne Renae Cook is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

4100 Lake Dr SE Ste 200
Grand Rapids, MI 49546-8292
Phone: (616) 391-3759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704268787 (MI)

Record details

NPI number1023648912
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2020
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Grand Rapids