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

Mrs. Carol A Cooke, CRNP

Individual provider Obstetrics & Gynecology Physician · NPI 1144496985

Mrs. Carol A Cooke, CRNP is a Nurse Practitioner in Centerville, Ohio. Qualified in 1997, 29 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Licensed in
OH
In the registry since
2008
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

6438 Wilmington Pike Ste 300
Centerville, OH 45459
Phone: (937) 848-4850
Fax: (937) 848-4858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence COA05642NP (OH)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence RN212344 (OH)

Record details

NPI number1144496985
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMay 1, 2008
Last updated in NPPESJanuary 28, 2021
Certification dateJanuary 28, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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