Individual provider Active NPI

Jennifer Lynne Cook, CRNA

  • Anesthesiology Physician
  • Ottumwa, IA
National Provider Identifier
1659877066
Registry record updated Apr 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
114076 Issued in IA
Practice address
1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone
(641) 684-2300
NPI assigned
Apr 4, 2018
Last updated
Apr 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20180626001159 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628323052 Reassigns benefits to 3 organizations

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
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

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

LicenseStateTypeSpecialty
114076IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marengo Memorial Hospital CurrentSince Jan 1, 2024 Accepting new patients
Marengo Memorial Hospital Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Grinnell Regional Medical Center CurrentSince Sep 1, 2023 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

  • Direct secure messaging: jcook142566@uihcdirect.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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.

Verify at the official NPI Registry.