Jenna Marie Cooke, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

004738 Issued in CT

Practice address

71 Haynes Street
Manchester, CT 06040-4188

Phone

(860) 871-6710

Fax

(860) 896-4869

NPI assigned

Oct 6, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Midstate Radiology Associates LLCGroup PAC ID 4880593565, 89 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.02 of 100Reported as group

Quality

82.26

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.37 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Midstate Radiology Associates, LLC

  • Diagnostic Radiology Physician
  • Meriden, CT
  • NPI 1578518999

  CT, Family

  Medicare reassignment Care Compare group NPD
• Diagnostic Imaging Services of CT, LLC

  • Diagnostic Radiology Physician
  • Groton, CT
  • NPI 1093760431

  CT, Family

  Medicare reassignment NPD
• Meriden Imaging Center, Inc.

  • Diagnostic Radiology Physician
  • Wallingford, CT
  • NPI 1508812561

  CT, Family

  Medicare reassignment NPD
• Vein Centers, LLC

  • Diagnostic Radiology Physician
  • Bristol, CT
  • NPI 1639739634

  CT

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1619251816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PLAINS INDUSTRIAL RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922360",
            "telephone_number": "203-949-2700",
            "fax_number": "203-949-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 HAYNES STREET",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404188",
            "telephone_number": "860-871-6710",
            "fax_number": "860-896-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "JENNA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-06",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut Surgical Group, PC
• Sarah M Connors Carter, M.A.
• Constellations Psychotherapy & Consulting, LLC
• Kevin R. Conter, PHD
• Hazel Contractor, MD
• Andrea Cooper
• Cameron Cooper
• Shirley Cooper
• Michael Copeland
• Christine A Coppola, ARNP

• All providers in Manchester, CT
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.