Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole R Cook, PA-C

Individual provider Medical Physician Assistant · NPI 1760625404

Nicole R Cook, PA-C is a Physician Assistant in Newport News, Virginia. Qualified in 2009, 17 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

860 Omni Blvd Ste 301
Newport News, VA 23606-4434
Phone: (757) 963-1488
Fax: (757) 586-5232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110003022 (VA)

Record details

NPI number1760625404
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 10, 2009
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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