Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Gregory Cooley, DNP, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1821528969

Jacob Gregory Cooley, DNP, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Boston, Massachusetts. Qualified in 2017, 9 years ago. Practices with Stillwater Medical Center Authority, a 168-clinician group and accepts Medicare assignment. Licensed in Pennsylvania and Wisconsin.

Years since qualifying
9
Licensed in
PA, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone: (617) 638-6950
Fax: (617) 638-6966
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Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 10264 (WI)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence RN697361 (PA)

Record details

NPI number1821528969
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , CRNA
Sole proprietorNo
NPI enumeratedJune 12, 2017
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address3066 N Station St, Verona, WI 53593-8722

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stillwater Medical Center Authority — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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