Individual provider Active NPI

Jennifer Lee Clayton, CNP

  • Acute Care Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1174854913
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA.11201-NP Issued in OH
Practice address
234 Goodman St
Neurosurgery
Cincinnati, OH 45219-2364
Phone
(513) 475-8990
NPI assigned
Jan 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X COA.11201-NP OH Primary

Addresses

Primary practice location

234 Goodman St
Neurosurgery
Cincinnati, OH 45219-2364

Mailing address

2830 Victory Pkwy
2ND Floor
Cincinnati, OH 45206-1785

Other identifiers 1

IdentifierTypeStateIssuer
3093781MedicaidOH

Other names 1

  • Jennifer Lee Cooper Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20230809003577 CO Practitioner - Nurse Practitioner 4385773290 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

340 Exempla Cir
300 Lafayette Clinic Neurosurgery
Lafayette, CO 80026-3384
Phone (303) 673-1390

8350 Colorado Blvd
Unit 160
Firestone, CO 80504-6803
Phone (303) 673-1370

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.11201-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 12, 2022 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jul 12, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Sep 12, 2022 Accepting new patients
Cancer Centers of Colorado, LLC CurrentSince Jul 31, 2023 Accepting new patients
Platte Valley Medical Group, LLC CurrentSince Jul 12, 2023 Accepting new patients
Saint Joseph Hospital, Inc Past Accepting new patients
Intermountain Medical Group Denver, LLC Past Accepting new patients
Cancer Centers of Colorado, LLC PastSince Nov 18, 2025 Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1825 N Marion St
Denver, CO 80218
Phone (303) 318-3434

2777 Mile High Stadium Cir
Ste 100
Denver, CO 80211
Phone (303) 403-6820

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

1960 N Ogden St
Denver, CO 80218
Phone (303) 318-2500

1601 Lowell Blvd
Ste 150
Denver, CO 80204
Phone (303) 403-6820

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

400 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 403-7333

710 Wellington Ave
Grand Junction, CO 81501
Phone (970) 298-7106

340 Exempla Cir
Lafayette, CO 80026
Phone (303) 673-1600

Organizations & group practices 9

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

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": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1174854913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "address_2": "2ND FLOOR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785",
            "fax_number": "513-585-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "address_2": "NEUROSURGERY",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-475-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.11201-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3093781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COOPER",
            "middle_name": "LEE",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.