Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Grace E Cook , NP

Nurse Practitioner • Fall River, MA

Active NPI 1235370016 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

363 Highland Avenue, Southcoast Physician Services, Inc.
Fall River, MA 027203703

Call 5086797888 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

363 Highland Avenue
Southcoast Physician Services, Inc.

Fall River, MA 027203703

Telephone 5086797888
Fax 5186797834
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Blackstone Valley Community Health Care Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

Medicare-allowed amount

About $7,861 in 2018

The total amount Medicare approved for these services in 2018. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.

Paid by Medicare

About $4,913 in 2018

The part of the Medicare-allowed amount that Medicare itself paid in 2018, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018.

30-day fills

1,687 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$40,176 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Grace Cook has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Grace Cook as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fall River and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in Fall River, MA (2024, 72 clinicians with data). Median for this group: 676. Middle half: 93 to 1,922.

More Part D prescriptions than 70% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: 330. Middle half: 89 to 1,072.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Fall River, MA (2024, 72 clinicians with data). Median for this group: $68,351. Middle half: $1,413 to $323,148.

Close to the middle for clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: $25,224. Middle half: $1,758 to $161,316.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Grace Cook are from 2018.

96 active clinicians are listed under Nurse Practitioner with a practice address in Fall River, MA (3,483 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fall River

39.6% of these 96 clinicians have the CMS telehealth indicator.

81.2% of these 96 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2018), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2018.

CMS Part B · Data Year 2018
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2017 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2018; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
82 59 $334.00 $95.86

Source: CMS Part B by Provider and Service, 2018; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Metformin Hcl Metformin Hcl 78 4,207 $462.49 20
Atorvastatin Calcium Atorvastatin Calcium 77 5,396 $669.77 25
Amlodipine Besylate Amlodipine Besylate 69 5,280 $413.22 20
Omeprazole Omeprazole 61 3,159 $903.64 19
Lisinopril Lisinopril 42 2,794 $345.91 14
Glipizide Glipizide 35 1,300 $171.24 —
Levothyroxine Sodium Levothyroxine Sodium 32 1,820 $427.10 —
Amitriptyline Hcl Amitriptyline Hcl 26 1,920 $400.55 —
Pantoprazole Sodium Pantoprazole Sodium 22 1,800 $79.78 —
Metoprolol Succinate Metoprolol Succinate 21 1,830 $99.29 —
Tamsulosin Hcl Tamsulosin Hcl 21 1,202 $291.09 —
Duloxetine Hcl Duloxetine Hcl 21 1,346 $507.91 —
Hydroxyzine Hcl Hydroxyzine Hcl 20 300 $838.96 —
Jardiance Empagliflozin 20 814 $16,589.48 —
Olmesartan Medoxomil Olmesartan Medoxomil 19 976 $307.41 —
Albuterol Sulfate Hfa Albuterol Sulfate 19 419 $430.48 —
Chlorthalidone Chlorthalidone 17 1,050 $394.46 —
Losartan Potassium Losartan Potassium 17 1,240 $201.46 —
Mirtazapine Mirtazapine 17 1,290 $546.06 —
Meloxicam Meloxicam 16 480 $87.36 —
Carvedilol Carvedilol 16 474 $65.97 —
Furosemide Furosemide 16 474 $29.18 —
Pravastatin Sodium Pravastatin Sodium 16 1,440 $117.43 —
Fluoxetine Hcl Fluoxetine Hcl 16 834 $110.11 —
Topiramate Topiramate 15 563 $95.79 —

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MA RN192310

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Obstetrics & Gynecology

NUCC Taxonomy Code: 363LX0001X

License # reported to NPPES RI NPP37477
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20171130002289

Enrollment State Jurisdiction

MA

PECOS Control ID

4587717244

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Blackstone Valley Community Health Care Inc

39 E Ave, Pawtucket, RI 028604003

Phone: 4013129813

Blackstone Valley Community Health Care Inc

9 Chestnut St, Central Falls, RI 028632005

Phone: 4017220081

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
NPI 1891795720

Doctor of Medicine (M.D.)

NPI 1104823061

Doctor of Medicine (M.D.)

Monica Silva , ANP

Nurse Practitioner

NPI 1932434933

Adult Nurse Practitioner

NPI 1043277072

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated March 09, 2009.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1235370016
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2009
Last Update: July 27, 2010
Sole Proprietor: No

Other Nurse Practitioners in Fall River

All Nurse Practitioners in Fall River

Mailing Address

370 Faunce Corner Road, Southcoast Physician Services, Inc.

North Dartmouth, MA 024741274

Phone: 5089852000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.