JACQUELINE DENISE COOPER CNM
NPI 1265080071
Advanced Practice Midwife in Gastonia, NC

Q: What is Jacqueline Cooper's NPI number?

The NPI number for Jacqueline Cooper is 1265080071. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Q: What is Jacqueline Cooper's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Cooper was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment

1225 E GARRISON BLVD, GASTONIA, NC 28054(704) 865-7416 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2022, Aug 27, 2019 (2 updates tracked since 2019).

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About Jacqueline Denise Cooper Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE DENISE COOPER CNM (NPI 1265080071) is an individual advanced practice midwife in Gastonia, North Carolina, licensed in North Carolina (850) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265080071

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameJACQUELINE DENISE COOPERCredential: CNM

Location Address1225 E GARRISON BLVDGastonia, NC 28054-5115

Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 865-7416

Phone(704) 865-7416

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 27, 2019

Last NPPES UpdateOctober 12, 20222 updates tracked since enumeration

NPPES CertifiedOctober 12, 2022

✔ NPI 1265080071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in NC · 850

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedRegistered Nurse · Maternal NewbornTaxonomy 163WM0102X · License 268283 (NC)

1225 E GARRISON BLVD, Gastonia, NC 28054

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Denise Cooper Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517335219

PECOS Enrollment IDI20221201000079, I20241104003291

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRYSTA DANIELLE COUSINO

Advanced Practice Midwife