Active NPI
Jenifer P Cook, MD
- Family Medicine Physician
- Hugoton, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 004-28272
- 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.
-
- Rural Health Clinic/Center
- Kinsley, KS
- NPI 1649372012
KS
-
- Medicare Defined Swing Bed Hospital Unit
- Greensburg, KS
- NPI 1952406514
KS
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 IncHamilton County Hospital
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
- Hamilton County Hospital
- Sedan City Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 004-28272 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln County Hospital | Current | Accepting new patients | |
| Great Plains of Ellinwood, Inc. | Current | Accepting new patients | |
| Sedan City Hospital | Current | Accepting new patients | |
| Edwards County Hospital and Healthcare Center | Current | Accepting new patients | |
| Lincoln County Hospital | Current | Accepting new patients | |
| Great Plains of Ellinwood Inc. | Current | Accepting new patients | |
| Edwards County Hospital and Healthcare Center | Current | Accepting new patients | |
| Lincoln County Hospital | Current | Accepting new patients | |
| Great Plains of Ellinwood Inc. | Current | Accepting new patients | |
| Sedan City Hospital | Current | 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 | Current | Accepting new patients | |
| Lindsborg Community Hospital Association | Current | Accepting new patients | |
| Edwards County Hospital and Healthcare Center | Current | Accepting new patients | |
| Lindsborg Community Hospital Association | Current | 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
- jcook672258@direct.kuha.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 004-28272 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 501910 | Other | KS | 1ST GUARD |
| 200307700A | Medicaid | KS |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.