MS. JACQUELINE J. MCCOY (F.N.P., M.S.N.) – Nurse Practitioner, NPI 1215926282
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,798 NURSE PRACTITIONER in ID
Provider Addresses for MS. JACQUELINE J. MCCOY (F.N.P., M.S.N.)
Texas Tech Medical Center El Paso, 4801, Alberta Avenue, El Paso, El Paso County, Texas, 79905, United States
EMERGENCY MEDICINE DEPARTMENT
EL PASO, TX 799052705
Phone: (915) 215-4600
Fax: (915) 545-7338
Type: Mailing
207 1ST ST S
NAMPA, ID 836513703
Phone: (208) 466-7869
Fax: (208) 466-5359
Type: Location
University Medical Center, 4815, Alameda Avenue, El Paso, El Paso County, Texas, 79905, United States
EL PASO, TX 799052705
Phone: (915) 521-7415
Fax: (915) 521-7920
Type: Location
4815 Alameda Ave
El Paso, TX 799052705
Phone: (915) 521-7415
Fax: (915) 521-7920
Type: Location
PO BOX 9
NAMPA, ID 836530009
Phone: (208) 467-4431
Fax: (208) 466-5359
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050926001004 | I | Nurse Practitioner | TX | TBD |
| I20251029004383 | I | Nurse Practitioner | ID | 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 79905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CA | |
| - | ID | |
| Family Practice | ID | |
| - | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | ID | |
| - | ID | |
| Family Practice | ID | |
| Family Practice | ID |
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