Active NPI
Jennifer Sue Cook, CNM
- Advanced Practice Midwife
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 09000400A
- Practice address
- 3401 E Raymond St
Indianapolis, IN 46203-4744 - Phone
- (317) 957-2100
- NPI assigned
- May 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 09000400A | IN | Primary |
Addresses
Primary practice location
3401 E Raymond St
Indianapolis, IN 46203-4744
Mailing address
6350 E Centenary Rd
Mooresville, IN 46158-6872
Phone (317) 501-6162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300064028 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of Cincinnati College of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8051 S Emerson Ave
400 OBGYN of Indiana South
Indianapolis, IN 46237-8633
Phone (317) 865-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Hills OB-GYN Associates, LLC | Current | Accepting new patients | |
| Seven Hills OB-GYN Associates LLC | Current | Accepting new patients | |
| Obstetrics & Gynecology of Indiana, LLC | Past | Accepting new patients |
Locations
11405 Pennsylvania St
Ste 260
Carmel, IN 46032
Phone (317) 334-5718
1703 W Stones Crossing Rd
Ste 320
Greenwood, IN 46143
Phone (317) 859-2535
8051 S Emerson Ave
Ste 400
Indianapolis, IN 46237
Phone (317) 865-3600
1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454
Interoperability endpoints
- jennifer.cook@axia.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1396350187
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1780312975
-
- Obstetrics & Gynecology Physician
- Carmel, IN
- NPI 1942290143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1477290757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 E CENTENARY RD",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461586872",
"telephone_number": "317-501-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 E RAYMOND ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462034744",
"telephone_number": "317-957-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JENNIFER",
"middle_name": "SUE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-17",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "IN",
"license": "09000400A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300064028",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.