Active NPI
Jennifer Lynn Cooper, AGNP-C
- Adult Health Nurse Practitioner
- Sioux Falls, SD
National Provider Identifier
1609653831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 200608
- Practice address
- 4800 E 57TH St Ste B
Sioux Falls, SD 57108-8627 - Phone
- (605) 305-4080
- NPI assigned
- Sep 11, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 200608 | SD | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 200608 | SD | |
| Primary Care Nurse Practitioner | 363LP2300X | 200608 | SD |
Addresses
Primary practice location
4800 E 57TH St Ste B
Sioux Falls, SD 57108-8627
Mailing address
309 S Wipf St
Freeman, SD 57029-2011
Phone (440) 220-2765
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251111003090 | CO | Practitioner - Nurse Practitioner | 3779074356 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6870 W 52ND Ave
Arvada, CO 80002-3952
9250 E Costilla Ave
Suite 540
Greenwood Village, CO 80112-3648
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200608 | SD | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Consultants Aco Prof LLC | Current | Accepting new patients |
Locations
9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112
12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777
Organizations & group practices 1
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.
-
dba Summit Medical Consultants ACO
- Internal Medicine Physician
- Greenwood Village, CO
- NPI 1891471207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1609653831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 S WIPF ST",
"city": "FREEMAN",
"state": "SD",
"postal_code": "570292011",
"telephone_number": "440-220-2765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 E 57TH ST STE B",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571088627",
"telephone_number": "605-305-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "SD",
"license": "200608",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "SD",
"license": "200608",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "SD",
"license": "200608",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.