JENIFER P COOK (MD) – Family Medicine Physician, NPI 1104809987
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for JENIFER P COOK (MD)
200 S Main St
Russell, KS 676652920
Phone: (785) 483-3131
Fax: (785) 483-4859
Type: Location
Stevens County Hospital and Medical Clinic, 1006, South Jackson Street, Hugoton, Stevens County, Kansas, 67951, United States
HUGOTON, KS 679512858
Phone: (620) 544-6186
Fax: (620) 544-4076
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ABBVIE INC. ($42).
Total Amount
$133
General + Research + Ownership
Payments
7
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $42 |
| Lilly USA, LLC | $34 |
| Edwards Lifesciences Corporation | $24 |
| Medtronic, Inc. | $20 |
| PFIZER INC. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041209000804 | I | Family Practice | KS | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 67665)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KS | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 53 | 49 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KS | |
| Physician Assistant | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| Family Practice | OK | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| - | KS |
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