NPI registry status
Active
2026 NPPES data Adult Health Nurse Practitioner NPI 1033481478 NP
Verify on CMS → Michelle Cook, NP
Adult Health Nurse Practitioner in Tacoma, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,519 in Adult Health Nurse Practitioner, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
246
Medicare Part D claims · 72 beneficiaries · Adult Health Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1/100
▲ 12 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michelle Cook, NP reported a CMS MIPS final score of 95.1/100 - above the 83.1 national average - and filed 246 Medicare Part D claims in 2023.
- 95.1/100
- MIPS score · +12 vs avg
- 246
- Part D claims, 2023
- 85%
- generic prescribing
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Michelle Cook, NP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 21% higher than 79% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Michelle Cook, NP sits
This provider among adult health nurse practitioner peers
Across the 4,289 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Michelle Cook, NP writes more Part D claims than 39% of them and scores higher on MIPS quality than 78% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one adult health nurse practitioner peer from a representative sample of 60; the gold marker is Michelle Cook, NP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Michelle Cook, NP?
High performer (top quartile)Primary specialty
Adult Health Nurse Practitioner
Medicare Part D claims
246 80% vs specialty avg
MIPS final score
95.1/100 12 pts vs avg
Specialty distribution in Washington
How Adult Health Nurse Practitioner compares to other specialties among Washington providers
Medicare quality performance, MIPS
Michelle Cook, NP's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 95.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Adult Health Nurse Practitioner) - 95.1/100 vs national avg 83.1
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Michelle Cook, NP appears in the CMS NPPES registry as an Adult Health Nurse Practitioner provider holding NP credentials at 1802 YAKIMA AVE STE 302, Tacoma, WA, 98405, with a listed phone of (253) 627-1244. NPI 1033481478 was issued on 02/01/2012.
Medicare Part D records for calendar year 2023 show 246 prescription claims written by this provider, covering 72 Medicare beneficiaries and totaling roughly $37K in drug spend, split 15% brand-name and 85% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.1/100 for the 2023 performance year (Quality 86.3), compared with the national average of 83.1.
Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,519 enrolled providers across 55 states and an average of 1,201 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1033481478 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | NP |
| Gender | Female |
| NPI Issued | 02/01/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Michelle Cook, NP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Lifecare Alliance
Columbus, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Washington WMC 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 - they are NOT specific to Michelle Cook, NP. To verify Michelle Cook, NP's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases
WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Michelle Cook, NP - brand share 15.0%
Adult Health Nurse Practitioner average
15% brand-name claims vs 85% generic, on 246 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
246
Total Claims
$37K
Total Drug Cost
72
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 527
- Total Day Supply
- 15,516
- Brand vs Generic
- 15% brand / 85% generic
- Brand Drug Cost
- $33K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 75.0 years
- Avg HCC Risk Score
- 1.85
- Gender Split
- 44% female / 56% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michelle Cook, NP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Rosuvastatin Calcium
Rosuvastatin Calcium
21 claims
- Losartan Potassium
Losartan Potassium
19 claims
- Carvedilol
Carvedilol
17 claims
- Metoprolol Tartrate
Metoprolol Tartrate
17 claims
- Amlodipine Besylate
Amlodipine Besylate
16 claims
- Clopidogrel
Clopidogrel
15 claims
| Drug | Claims |
|---|---|
| Rosuvastatin Calcium | 21 |
| Losartan Potassium | 19 |
| Carvedilol | 17 |
| Metoprolol Tartrate | 17 |
| Amlodipine Besylate | 16 |
| Clopidogrel Clopidogrel Bisulfate | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Health Nurse Practitioner Overview
How Michelle Cook, NP fits within the Adult Health Nurse Practitioner landscape nationally.
29,519
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider
Michelle Cook, NP's 246 claims are below the specialty average of 1,201.
Nearby Adult Health Nurse Practitioner Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Cook.
Dr. Sandra Abrahamson
ARNP
Seattle, WA
Olga Abramova
Bellevue, WA
Dr. Alvin Aceron
ARNP
Seattle, WA
Dr. Diane Acosta
ARNP
Tacoma, WA
Ream Adeeb
Seattle, WA
Compare Adult Health Nurse Practitioner nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Washington medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Health Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Washington
Frequently Asked Questions
What is Michelle Cook, NP's specialty? ▼
Michelle Cook, NP specializes in Adult Health Nurse Practitioner and practices in Tacoma, Washington. Credentials: NP.
How much does Michelle Cook, NP prescribe under Medicare Part D? ▼
In 2023, Michelle Cook, NP wrote 246 Medicare Part D claims totaling $37K in drug costs for 72 beneficiaries.
What is Michelle Cook, NP's Medicare quality score? ▼
Michelle Cook, NP has a CMS MIPS Final Score of 95.1/100 (Quality: 86.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michelle Cook, NP located? ▼
Michelle Cook, NP is located at 1802 YAKIMA AVE STE 302, Tacoma, WA, 98405. Phone: (253) 627-1244.
What is Michelle Cook, NP's NPI number? ▼
Michelle Cook, NP's National Provider Identifier (NPI) is 1033481478, issued on 02/01/2012.
Does Michelle Cook, NP prescribe more brand-name or generic drugs? ▼
Michelle Cook, NP's prescribing is 15% brand-name and 85% generic drugs by claim count, with $33K in brand drug costs.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,519 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
What drugs does Michelle Cook, NP prescribe most often? ▼
Based on 2023 Medicare Part D data, Michelle Cook, NP's most frequently prescribed drugs include Rosuvastatin Calcium, Losartan Potassium, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Cook, NP accept Medicare? ▼
Michelle Cook, NP appears in CMS Medicare data with 246 Part D claims and 72 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Cook, NP's credentials? ▼
Michelle Cook, NP's NPI is 1033481478 with credentials NP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.