Active NPI
Jennifer Lynne Cook, CRNA
- Anesthesiology Physician
- Ottumwa, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 114076
- Practice address
- 1001 Pennsylvania Ave
Ottumwa, IA 52501-6427 - Phone
- (641) 684-2300
- NPI assigned
- Apr 4, 2018
- Last updated
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 114076 | IA | Primary |
Addresses
Primary practice location
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Mailing address
105 E Locust St
Bloomfield, IA 52537-1458
Phone (614) 664-3602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114076 | IA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marengo Memorial Hospital | Current | Accepting new patients | |
| Marengo Memorial Hospital | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Grinnell Regional Medical Center | Current | Accepting new patients | |
| Unity Healthcare | Current | Accepting new patients | |
| Knoxville Area Anesthesia Services | Past | Accepting new patients |
Locations
210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
Interoperability endpoints
- jcook142566@uihcdirect.org
- jcook820882@direct.unitypoint.org
Organizations & group practices 6
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.
-
dba Unitypoint Health - Grinnell Professional Services
- Family Medicine Physician
- Grinnell, IA
- NPI 1437663242
-
dba Compass Memorial Healthcare
- Critical Access Hospital
- Marengo, IA
- NPI 1053368191
-
dba Marengo Family Medical Clinic
- Rural Health Clinic/Center
- Marengo, IA
- NPI 1043375132
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba Unity Physician Clinics
- Internal Medicine Physician
- Muscatine, IA
- NPI 1629122742
-
- Certified Registered Nurse Anesthetist
- Knoxville, IA
- NPI 1104089275
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Unitypoint Health - Grinnell Regional Medical Center
- General Acute Care Hospital
- Grinnell, IA
- NPI 1669420501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1659877066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 E LOCUST ST",
"city": "BLOOMFIELD",
"state": "IA",
"postal_code": "525371458",
"telephone_number": "614-664-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 PENNSYLVANIA AVE",
"city": "OTTUMWA",
"state": "IA",
"postal_code": "525016427",
"telephone_number": "641-684-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "114076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ottumwa, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.