Individual provider Active NPI

Jennifer Margaret Cohen, PA

  • Physician Assistant
  • Steamboat Springs, CO
National Provider Identifier
1356627152
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0003316 Issued in CO
Practice address
1600 Mid Valley Dr Unit a
Steamboat Springs, CO 80487-9006
Phone
(970) 871-9770
Fax
(970) 871-9771
NPI assigned
Oct 25, 2011
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0003316 CO Primary

Addresses

Primary practice location

1600 Mid Valley Dr Unit a
Steamboat Springs, CO 80487-9006

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4128

Other practice location 1

2305 Mount Werner Cir Ste P.027
Steamboat Springs, CO 80487-9023
Phone (970) 871-8038

Other identifiers 2

IdentifierTypeStateIssuer
54135532OtherCORAILROAD MEDICARE
54135532MedicaidCO

Other names 1

  • Jennifer Cohen Professional 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
I20111227000799 CO Practitioner - Physician Assistant 7618143579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yampa Valley Medical CenterGroup PAC ID 5890685689, 128 clinicians

Practice addresses (Care Compare)

1024 Central Park Dr
Steamboat SPR, CO 80487-8813
Phone (970) 879-1322

1600 Mid Valley Dr
Unit a
Steamboat Springs, CO 80487-9006
Phone (970) 879-1322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0003316COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Yampa Valley Medical Center CurrentSince Jun 20, 2022 Accepting new patients
Yampa Valley Medical Center CurrentSince Jun 20, 2022 Accepting new patients
Longs Peak Emergency Physicians, PC Past Accepting new patients
Yampa Valley Medical Center Past Accepting new patients
Boulder Emergency Physicians PC Past Accepting new patients
Yampa Valley Medical Center PastSince Aug 1, 2022 Accepting new patients

Locations

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

1024 Central Park Dr
Steamboat Springs, CO 80487
Phone (970) 824-1322

1600 Mid Valley Dr
Unit A
Steamboat Springs, CO 80487
Phone (970) 871-9770

2305 Mount Werner Cir
Ste P27
Steamboat Springs, CO 80487
Phone (970) 871-8038

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1356627152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4128",
            "fax_number": "970-490-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MID VALLEY DR UNIT A",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804879006",
            "telephone_number": "970-871-9770",
            "fax_number": "970-871-9771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Mount Werner Cir Ste P.027",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804879023",
            "country_code": "US",
            "telephone_number": "970-871-8038",
            "fax_number": "970-871-8039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JENNIFER",
        "middle_name": "MARGARET",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "54135532",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54135532",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COHEN",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Steamboat Springs, CO

Sources for this page

Verify at the official NPI Registry.