Individual provider Active NPI

Jennifer L. Cooper, CRNA

  • Certified Registered Nurse Anesthetist
  • Little Rock, AR
National Provider Identifier
1073748265
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R83375 Issued in AR
Practice address
9601 Interstate 630 # Exit7
Little Rock, AR 72205-7202
Phone
(501) 202-2093
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C02749 AR
Certified Registered Nurse Anesthetist 367500000X R83375 AR Primary

Addresses

Primary practice location

9601 Interstate 630 # Exit7
Little Rock, AR 72205-7202

Mailing address

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211-4316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090626000558 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466503792 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dream Team Anesthesia LLCGroup PAC ID 8820457021, 11 clinicians
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

1 Lile CT
Suite 200
Little Rock, AR 72205-6240
Phone 50122707004000

10915 N Rodney Parham Rd
Suite B
Little Rock, AR 72212-4114
Phone (501) 747-2828

1300 Centerview Dr
Little Rock, AR 72211-4349
Phone (501) 227-0700

9601 Baptist Health Dr
Little Rock, AR 72205-6321
Phone (501) 202-2093

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R83375ARMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gastroenterology Associates PLLC CurrentSince Aug 1, 2024 Accepting new patients
Protection Anesthesia Services PA Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2025 Accepting new patients
Dream Team Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Arkansas Health Group Anesthesiology CurrentSince Jun 1, 2009 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2025 Accepting new patients
Premier Gastroenterology Associates PLLC CurrentSince Aug 1, 2024 Accepting new patients
Arkansas Health Group CurrentSince Jun 1, 2009 Accepting new patients

Locations

700 W Grove St
El Dorado, AR 71730
Phone (870) 863-2200

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828

9601 Baptist Health Dr
Little Rock, AR 72205
Phone (501) 202-3995

9601 Interstate 630
Little Rock, AR 72205
Phone (501) 202-2300

9601 Baptist Health Dr
Ste 1200
Little Rock, AR 72205
Phone (501) 420-3884

1300 Centerview Dr
Little Rock, AR 72211
Phone (501) 410-1196

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1073748265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "address_2": "STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 INTERSTATE 630 # EXIT7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722057202",
            "telephone_number": "501-202-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AR",
            "license": "C02749",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AR",
            "license": "R83375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.