JENNIFER COCKRUM – Hospitalist Physician, NPI 1255802963

JENNIFER COCKRUM is a healthcare provider. based in Amarillo, Texas. specializing in NURSE PRACTITIONER. They hold a License No. AP139848 (TX). The NPI Number for JENNIFER COCKRUM is 1255802963

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER COCKRUM
NPI
1255802963
Phone
(806) 212-2129
Address
BSA HOSPITALIST
Enumeration Date
7 December 2018
Last Update Date
7 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063594673
Graduation Year
2018 (8 years ago)
PAC ID
5092050781
Group Practice PAC ID
3971748146
Professional Enrollment ID
I20181228000535
Address ID
TX791061711AM1751XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for JENNIFER COCKRUM

  • BSA HOSPITALIST

    1600 WALLACE BLVD.

    AMARILLO, TX 79106

    Phone: (806) 212-2129

    Fax: (806) 212-2246

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752840026

    Phone: (806) 212-6965

    Fax: (806) 212-6278

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-08-13 • Largest payer in this snapshot: ABIOMED ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$27
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: 2018-12-28

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
I20181228000535INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79106)

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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: 3971748146View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
General Practice, Undersea And Hyperbaric MedicineTX
Nurse PractitionerTX
General SurgeryTX
-TX
H O S P I T A L I S TOR
Nurse PractitionerTX
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER COCKRUM?
JENNIFER COCKRUM — NPI 1255802963 — is the standard way to identify this listing.
Does CMS list JENNIFER COCKRUM as active?
Yes — JENNIFER COCKRUM is active in the NPI listing used on this page.
What is JENNIFER COCKRUM best known for clinically?
Directory data describes JENNIFER COCKRUM with Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JENNIFER COCKRUM on a map?
Expect Amarillo, Texas as a primary anchor for JENNIFER COCKRUM unless the record lists multiple sites.
Is the information about JENNIFER COCKRUM up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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