JACOB COCKERHAN (PMHNP) – Registered Nurse, NPI 1922539378

JACOB COCKERHAN (PMHNP) is a healthcare provider. based in Waterford, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 4704315433 (MI). The NPI Number for JACOB COCKERHAN (PMHNP) is 1922539378

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
JACOB COCKERHAN (PMHNP)
NPI
1922539378
Phone
(248) 745-4900
Address
279 SUMMIT DR
Enumeration Date
27 March 2017
Last Update Date
3 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2487454900
Graduation Year
2022 (4 years ago)
PAC ID
2567835309
Group Practice PAC ID
8729980198
Professional Enrollment ID
I20230227001619
Address ID
MI483283364WA279XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for JACOB COCKERHAN (PMHNP)

  • 279, Summit Drive, Waterford Township, Oakland County, Michigan, 48328, United States

    WATERFORD, MI 483283364

    Phone: (248) 745-4900

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $421.

Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Indivior Inc. ($240).

Total Amount

$421

General + Research + Ownership

Payments

21

Total payment records

General Amount

$421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2023-02-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230227001619INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4425$0
View full utilization report →

Insurance plans in this area (ZIP 48328)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729980198View full group profile

Reviews

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Frequently asked questions

How do payers reference JACOB COCKERHAN (PMHNP)?
For JACOB COCKERHAN (PMHNP), use NPI 1922539378 as the unique 10-digit identifier.
Is there an active status for JACOB COCKERHAN (PMHNP)?
For scheduling context, JACOB COCKERHAN (PMHNP) is shown as active in the registry.
What expertise is attributed to JACOB COCKERHAN (PMHNP)?
JACOB COCKERHAN (PMHNP)'s specialty line reads Registered Nurse. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JACOB COCKERHAN (PMHNP)?
Travel planning: use Waterford, Michigan as the reference point for JACOB COCKERHAN (PMHNP), then confirm.
Does JACOB COCKERHAN (PMHNP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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