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Home > VA Providers > Endocrinologists

Nicole R. Cook, PA

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Specializes in: Endocrinology

Professional interests include: menopause, perimenopause, obesity, and more.

860 Omni Boulevard Suite 301
Newport News, VA 23606

(757) 963-1488

Nicole R. Cook, PA is in Newport News, VA specializing in endocrinology. Nicole R. Cook, PA is affiliated with Tidewater Physicians Multispecialty Group.

Office Locations

860 Omni Boulevard Suite 301
Newport News, VA 23606

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Some issues Nicole R. Cook, PA can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Nicole R. Cook, PA treated as in Newport News, VA during 2012 were blood draw, preventive care, vaccines and lab tests.

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

blood draw	69
doctor visit	493
ear procedures	12
lab tests	34
preventive care	36
vaccines	36

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

doctor visit	63

2013 Medicare Patient Data

Information about Medicare patients treated by Nicole R. Cook, PA.

**Gender**
Male	26
Female	35

**Age**
From 65 to 74	38
From 75 to 84	0
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Nicole R. Cook, PA in 2013

Hypertension	70
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	20
Depression	18
Chronic Kidney Disease	0
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	0
Chronic Obstructive Pulmonary Disease	0
Diabetes	38
Dementia	0
Cancer	0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Nicole R. Cook, PA treated as in Newport News, VA during 2017 were lab tests and blood draw.

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

blood draw	21
doctor visit	501
lab tests	33

2017 Medicare Patient Data

Information about Medicare patients treated by Nicole R. Cook, PA.

**Gender**
Male	77
Female	120

**Ethnicity**
Non-Hispanic White	161
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	113
From 75 to 84	51
85 and over	16
Less than 65	17

Conditions of Medicare patients treated by Nicole R. Cook, PA in 2017

Hypertension	66
High Cholesterol	59
Stroke	0
Ischemic Heart Disease	20
Depression	28
Chronic Kidney Disease	18
Asthma	8
Osteoperosis	0
Atrial Fibrilation	7
Heart Failure	13
Chronic Obstructive Pulmonary Disease	13
Diabetes	34
Dementia	7
Cancer	8

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Nicole R. Cook, PA treated as in Newport News, VA during 2018 were lab tests and blood draw.

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

blood draw	12
doctor visit	388
lab tests	15

2018 Medicare Patient Data

Information about Medicare patients treated by Nicole R. Cook, PA.

**Gender**
Male	70
Female	105

**Ethnicity**
Non-Hispanic White	152
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	94
From 75 to 84	59
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Nicole R. Cook, PA in 2018

Hypertension	68
High Cholesterol	70
Stroke	0
Ischemic Heart Disease	21
Depression	22
Chronic Kidney Disease	21
Asthma	9
Osteoperosis	6
Atrial Fibrilation	6
Heart Failure	13
Chronic Obstructive Pulmonary Disease	13
Diabetes	33
Dementia	9
Cancer	0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Nicole R. Cook, PA treated as in Newport News, VA during 2019 were lab tests and blood draw.

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

blood draw	15
doctor visit	300
lab tests	29

2019 Medicare Patient Data

Information about Medicare patients treated by Nicole R. Cook, PA.

**Gender**
Male	60
Female	0

**Ethnicity**
Non-Hispanic White	124
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	76
From 75 to 84	49
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Nicole R. Cook, PA in 2019

Hypertension	63
High Cholesterol	72
Stroke	0
Ischemic Heart Disease	19
Depression	13
Chronic Kidney Disease	22
Asthma	10
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	8
Chronic Obstructive Pulmonary Disease	11
Diabetes	34
Dementia	0
Cancer	8

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Nicole R. Cook, PA treated as in Newport News, VA during 2020 were lab tests, preventive care, blood draw and vaccines.

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

blood draw	27
diabetes management	14
doctor visit	409
lab tests	86
preventive care	53
vaccines	18

2020 Medicare Patient Data

Information about Medicare patients treated by Nicole R. Cook, PA.

**Gender**
Male	64
Female	107

**Ethnicity**
Non-Hispanic White	144
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	82
From 75 to 84	61
85 and over	11
Less than 65	17

Conditions of Medicare patients treated by Nicole R. Cook, PA in 2020

Hypertension	60
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	21
Depression	19
Chronic Kidney Disease	22
Asthma	0
Osteoperosis	8
Atrial Fibrilation	0
Heart Failure	10
Chronic Obstructive Pulmonary Disease	11
Diabetes	32
Dementia	6
Cancer	7

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Nicole R. Cook, PA treated as in Newport News, VA during 2021 were preventive care, vaccines and lab tests.

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

doctor visit	472
lab tests	13
preventive care	24
vaccines	24

2021 Medicare Patient Data

Information about Medicare patients treated by Nicole R. Cook, PA.

**Gender**
Male	69
Female	129

**Ethnicity**
Non-Hispanic White	165
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	91
From 75 to 84	69
85 and over	18
Less than 65	20

Conditions of Medicare patients treated by Nicole R. Cook, PA in 2021

Hypertension	60
High Cholesterol	61
Stroke	0
Ischemic Heart Disease	23
Depression	26
Chronic Kidney Disease	22
Asthma	6
Osteoperosis	11
Atrial Fibrilation	8
Heart Failure	13
Chronic Obstructive Pulmonary Disease	11
Diabetes	35
Dementia	7
Cancer	9

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Nicole R. Cook, PA treated as in Newport News, VA during 2022 were preventive care and vaccines.

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

doctor visit	512
preventive care	29
vaccines	29

2022 Medicare Patient Data

Information about Medicare patients treated by Nicole R. Cook, PA.

**Gender**
Male	74
Female	127

**Ethnicity**
Non-Hispanic White	170
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	96
From 75 to 84	68
85 and over	20
Less than 65	17

Conditions of Medicare patients treated by Nicole R. Cook, PA in 2022

Hypertension	70
High Cholesterol	72
Stroke	5
Ischemic Heart Disease	21
Depression	21
Chronic Kidney Disease	13
Asthma	9
Osteoperosis	11
Atrial Fibrilation	13
Heart Failure	9
Chronic Obstructive Pulmonary Disease	13
Diabetes	33
Dementia	0
Cancer	13

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Nicole R. Cook, PA for Medicare patients.

The highest averages for the top procedures that Nicole R. Cook, PA treated as in Newport News, VA were lab tests, preventive care, blood draw and vaccines.

blood draw	28
diabetes management	14
doctor visit	392
ear procedures	12
lab tests	35
preventive care	35
vaccines	26

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Nicole R. Cook, PA.

**Gender**
Male	55
Female	77

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	114
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	44
85 and over	8
Less than 65	8
65 to 74	73

Average of Total of Conditions of Medicare patients treated by Nicole R. Cook, PA From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Nicole R. Cook, PA treated were high cholesterol, hypertension, diabetes and depression.

Hypertension	57
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	18
Depression	18
Chronic Kidney Disease	14
Asthma	5
Osteoporosis	4
Heart Failure	8
Chronic Obstructive Pulmonary Disease	9
Diabetes	29
Atrial Fibrillation	4
Cancer	5
Dementia	3

Education & Training

She has a state license in Virginia.

Licensed In: Virginia

Affiliations & Hospitals

Nicole R. Cook, PA is associated with these hospitals and organizations:

Tidewater Physicians Multispecialty Group

Ratings & Reviews

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General Payments

These charts describe general payments received by Nicole R. Cook, PA. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AbbVie Inc.	$219 UBRELVY $126	VRAYLAR $50	QULIPTA $43
Lilly USA, LLC	$185 MOUNJARO $185
Pfizer Inc.	$53 ZAVZPRET $53
Supernus Pharmaceuticals, Inc.	$44 XYOSTED $44
Novo Nordisk Inc	$41 Ozempic $21	Wegovy $20
Other	$97 Trintellix $24	ELIQUIS $21	Seglentis $18	Omnipod $18	XARELTO $15

**Types of Payments**
Food and Beverage	$631
Education	$8

Biography

Ms. Nicole Cook's specialty is endocrinology. In Ms. Cook's practice, she is particularly interested in obesity, menopause, and thyroid problems. She is affiliated with Tidewater Physicians Multispecialty Group.