Individual provider Active NPI

Jenifer P Cook, MD

  • Family Medicine Physician
  • Hugoton, KS
National Provider Identifier
1104809987
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
004-28272 Issued in KS
Practice address
1006 S Jackson St
Hugoton, KS 67951-2858
Phone
(620) 544-6186
Fax
(620) 544-4076
NPI assigned
Nov 25, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains of Ellinwood Inc 13 clinicians
Hamilton County Hospital 15 clinicians

Practice addresses (Care Compare)

300 N Park Ave
Ellinwood, KS 67526-1452
Phone (620) 564-2548

700 N Huser St
Syracuse, KS 67878-7700
Phone (620) 384-7350

Hospital & facility affiliations

  • Sedan City Hospital Hospital, Sedan, KS, CCN 171318
  • Hamilton County Hospital Hospital, Syracuse, KS, CCN 171322
  • Sedan City Hospital Nursing home, CCN 17Z318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000804 KS Practitioner - Family Practice 9931165008 Reassigns benefits to 14 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
004-28272KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County Hospital Current Accepting new patients
Great Plains of Ellinwood, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Sedan City Hospital CurrentSince Nov 27, 2023 Accepting new patients
Edwards County Hospital and Healthcare Center CurrentSince Nov 30, 2021 Accepting new patients
Lincoln County Hospital CurrentSince May 1, 2021 Accepting new patients
Great Plains of Ellinwood Inc. CurrentSince Jul 15, 2024 Accepting new patients
Edwards County Hospital and Healthcare Center CurrentSince Nov 30, 2021 Accepting new patients
Lincoln County Hospital Current Accepting new patients
Great Plains of Ellinwood Inc. CurrentSince Jan 1, 2008 Accepting new patients
Sedan City Hospital CurrentSince Jul 1, 2025 Accepting new patients
County of Lane Current Accepting new patients
Kiowa County Memorial Hospital Current Accepting new patients
Kiowa County Memorial Hospital Current Accepting new patients
Rush County Memorial Hospital CurrentSince Aug 1, 2016 Accepting new patients
Lindsborg Community Hospital Association CurrentSince Sep 13, 2025 Accepting new patients
Edwards County Hospital and Healthcare Center Current Accepting new patients
Lindsborg Community Hospital Association CurrentSince Sep 13, 2025 Accepting new patients
Emergency Physicians of Manhattan, LLC Past Accepting new patients
Central Kansas Medical Center Family Medicine Past Accepting new patients
Pawnee Valley Community Hospital, Inc Past Accepting new patients
West Central Kansas Association, Inc. Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

300 N Park Ave
Ellinwood, KS 67526
Phone (620) 564-2548

721 W Kansas Ave
Greensburg, KS 67054
Phone (620) 723-2127

801 Locust St
#520
La Crosse, KS 67548
Phone (785) 222-2545

801 Locust St
La Crosse, KS 67548
Phone (785) 222-2545

624 N 2nd St
Lincoln, KS 67455
Phone (785) 524-4403

313 E Franklin St
Lincoln, KS 67455
Phone (785) 524-4474

605 W Lincoln St
Lindsborg, KS 67456
Phone (785) 227-3308

300 W North St
Sedan, KS 67361
Phone (620) 725-3115

Interoperability endpoints

  • Direct secure messaging: jcook672258@direct.kuha.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 004-28272 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

1006 S Jackson St
Hugoton, KS 67951-2858

Mailing address

1006 S Jackson St
Hugoton, KS 67951-2858
Phone (620) 544-6186

Other practice location 1

200 S Main St
Russell, KS 67665-2920
Phone (785) 483-3131

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
501910OtherKS1ST GUARD
200307700AMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 24, 2019.

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1104809987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 S JACKSON ST",
            "city": "HUGOTON",
            "state": "KS",
            "postal_code": "679512858",
            "telephone_number": "620-544-6186",
            "fax_number": "620-544-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S JACKSON ST",
            "city": "HUGOTON",
            "state": "KS",
            "postal_code": "679512858",
            "telephone_number": "620-544-6186",
            "fax_number": "620-544-4076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S Main St",
            "address_purpose": "LOCATION",
            "city": "Russell",
            "state": "KS",
            "postal_code": "676652920",
            "country_code": "US",
            "telephone_number": "785-483-3131",
            "fax_number": "785-483-4859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "JENIFER",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "004-28272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1ST GUARD",
            "identifier": "501910",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200307700A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugoton, KS

Sources for this page

Verify at the official NPI Registry.