NPIMap

Individual provider Active NPI

Jenna L Cook, MD

  • Family Medicine Physician
  • Lincoln, NE
National Provider Identifier
1891080362
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28084 Issued in NE
Practice address
1101 S 70TH St Ste 203
Lincoln, NE 68510-4293
Phone
(402) 937-1101
Fax
(402) 937-1151
NPI assigned
Jun 13, 2011
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28084 NE Primary
Family Medicine Physician 207Q00000X MD-41332 IA

Addresses

Primary practice location

1101 S 70TH St Ste 203
Lincoln, NE 68510-4293

Mailing address

1101 S 70TH St Ste 203
Lincoln, NE 68510-4293
Phone (402) 937-1101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140320001259 IA Practitioner - Emergency Medicine 9830320670 Reassigns benefits to 4 organizations
I20140814001188 NE Practitioner - Family Practice 9830320670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jehovah Rapha Medical Care PCGroup PAC ID 7315322278, 4 clinicians

Practice addresses (Care Compare)

1101 S 70TH St
Suite 203
Lincoln, NE 68510-4293
Phone (402) 937-1101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-41332IAMDFamily Medicine Physician
28084NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jehovah Rapha Medical Care PC Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Alegent Health - Mercy Hospital, Corning, Iowa CurrentSince Aug 18, 2017 Accepting new patients
Davis County Hospital CurrentSince Dec 6, 2013 Accepting new patients
Knoxville Community Hospital Inc Family Medicine CurrentSince Jul 19, 2014 Accepting new patients
Alegent Health Mercy Hospital Corning, Iowa Family Medicine CurrentSince Aug 18, 2017 Accepting new patients
Alegent Health - Mercy Hospital, Corning Iowa Current Accepting new patients
Knoxville Community Hospital Inc CurrentSince Jul 19, 2014 Accepting new patients
Alegent Health - Mercy Hospital, Corning Iowa Family Medicine Current Accepting new patients
Davis County Hospital CurrentSince Dec 6, 2013 Accepting new patients
Saint Elizabeth Regional Medical Center Past Accepting new patients
Bryan Medical Center Past Accepting new patients

Locations

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

603 Rosary Dr
Corning, IA 50841
Phone (641) 322-3121

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1101 S 70th St
Ste 203
Lincoln, NE 68510
Phone (402) 486-4035

4501 S 70th St
Ste 110
Lincoln, NE 68516
Phone (402) 489-3834

Interoperability endpoints

  • Direct secure messaging: jcook14414@hisp.bryanhealth.org

Organizations & group practices 11

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 3

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": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1891080362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST STE 203",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-937-1101",
            "fax_number": "402-937-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 70TH ST STE 203",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104293",
            "telephone_number": "402-937-1101",
            "fax_number": "402-937-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JENNA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "28084",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-41332",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.