Individual provider Active NPI

Jacob Cooper, ARNP, AGNP-C

  • Family Nurse Practitioner
  • Altoona, IA
National Provider Identifier
1083425615
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1083425615 Issued in IA
Practice address
2720 8TH St SW
Altoona, IA 50009-1050
Phone
(515) 967-0133
NPI assigned
Jan 14, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1083425615 IA
Family Nurse Practitioner 363LF0000X 1083425615 IA Primary
Registered Nurse 163W00000X 161373 IA

Addresses

Primary practice location

2720 8TH St SW
Altoona, IA 50009-1050

Mailing address

201 NE 23Rd CT
Grimes, IA 50111-1225
Phone (515) 360-5451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250222000112 IA Practitioner - Nurse Practitioner 1153841069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

2720 8TH St SW
Suite A1
Altoona, IA 50009-1028
Phone (515) 967-0133

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
161373IAMDRegistered Nurse
1083425615IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Apr 2, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

2720 8th St SW
Ste A1
Altoona, IA 50009
Phone (515) 967-0133

2720 8th St SW
Altoona, IA 50009
Phone (515) 957-8609

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

Interoperability endpoints

  • Direct secure messaging: jcooper1177635@direct.unitypoint.org

Organizations & group practices 2

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 4

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1083425615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NE 23RD CT",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501111225",
            "telephone_number": "515-360-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 8TH ST SW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091050",
            "telephone_number": "515-967-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JACOB",
        "credential": "ARNP, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "1083425615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "1083425615",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "161373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, IA

Sources for this page

Verify at the official NPI Registry.