DR. JACQUELINE LYNN YOUNG COOPER (M.D.) – Obstetrics Physician, NPI 1275706608
Obstetrics Physician
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NPPES metrics only — not quality of care.
1,037 OBSTETRICS/GYNECOLOGY in WA
Provider Addresses for DR. JACQUELINE LYNN YOUNG COOPER (M.D.)
2101 NE 139TH ST
STE 350
VANCOUVER, WA 98686
Phone: (360) 256-4060
Fax: (360) 256-0103
Type: Mailing
2101 NE 139th St
Ste 350
Vancouver, WA 98686
Phone: (360) 256-4060
Fax: (360) 256-0103
Type: Location
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
1046 6TH AVE SW
ALBANY, OR 973211916
Phone: (541) 812-4000
Type: Location
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: 2026-01-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20130509000422 | I | Obstetrics/Gynecology | OR | TBD |
| I20190923000111 | I | Obstetrics/Gynecology | TX | TBD |
| I20250811000077 | I | Obstetrics/Gynecology | CA | TBD |
| I20260121001985 | I | Obstetrics/Gynecology | MI | 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 98686)
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