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JENNA NICOLE COOPER
NPI 1205684669
Speech-Language Pathologist in Oak Creek, WI

Active since May 10, 2024
200 E RYAN RD, OAK CREEK, WI 53154(414) 570-3590 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 18, 2024, Jul 17, 2024, Jun 25, 2024 and 1 more (4 updates tracked since 2024).

About Jenna Nicole Cooper NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA NICOLE COOPER (NPI 1205684669) is an individual speech-language pathologist provider in Oak Creek, Wisconsin, licensed in Wisconsin (6601-154) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1205684669
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJENNA NICOLE COOPER
Location Address200 E RYAN RDOak Creek, WI 53154-4563
Mailing Address9070 S Chicago CtOak Creek, WI 53154-4243 · (414) 430-2117
Phone(414) 570-3590
Sole ProprietorNo
Enumeration DateMay 10, 2024
Last NPPES UpdateNovember 18, 20244 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1205684669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in WI · 6601-154
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
200 E RYAN RD, Oak Creek, WI 53154
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Other Identifiers 1

Medicaid100279167WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Nicole Cooper is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

3

Medicare enrollment records show Jenna Cooper reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lakeshore Medical Clinic Ltd
3.7 mi
Family Medicine
1100 MILWAUKEE AVE
South Milwaukee, WI 53172
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1174851893 (414) 764-4003
Aurora Medical Group, Inc.
8.7 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Aurora Advanced Healthcare, Inc.
19 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY KUJELLIS PA
Physician Assistant
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
GREGG E TETTING MD
Pediatrics
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
SHEREEN MOHIS M.D.
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
DR. AGNES PROSPERE MD
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
WENDI A QUENTIN PT
Physical Therapist
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
EMILY RUTH JAEGER MD
Psychiatry & Neurology (Neurology)
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
DR. NABILA QUADRI M.D.
Emergency Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
HUI ZHANG
Orthopaedic Surgery (Foot and Ankle Surgery)
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Cooper's NPI number?

The NPI number for Jenna Cooper is 1205684669. It was assigned to this individual provider in the NPPES registry on May 10, 2024.

Where is Jenna Cooper located?

Jenna Cooper practices at 200 E Ryan Rd, Oak Creek, WI 53154. The listed phone number is (414) 570-3590.

What is Jenna Cooper's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jenna Cooper enrolled in Medicare?

Yes. Jenna Cooper is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenna Cooper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Cooper reassigns Medicare benefits to 3 organizations: Lakeshore Medical Clinic Ltd (South Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Cooper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Cooper accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Jenna Cooper as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Cooper was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.