MS. JAE M KENNEDY-COOKSON APRN-CNP, PMHNP-BC
NPI 1528298288
Nurse Practitioner - Psychiatric/Mental Health in Perrysburg, OH
About Ms. Jae M Kennedy-cookson Aprn-cnp, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JAE M KENNEDY-COOKSON APRN-CNP, PMHNP-BC (NPI 1528298288) is an individual psychiatric/mental health provider in Perrysburg, Ohio, licensed in Ohio (1457548224) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Jae M Kennedy-cookson Aprn-cnp, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Jae Kennedy-cookson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lynchburg, VA 24504
- Reassigned Medicare billing, Ohio enrollment
- 62 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Ohio and Washington enrollments
- 725 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43551 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jae Kennedy-cookson's NPI number?
The NPI number for Jae Kennedy-cookson is 1528298288. It was assigned to this individual provider in the NPPES registry on July 16, 2009.
Where is Jae Kennedy-cookson located?
Jae Kennedy-cookson practices at 27475 Holiday Ln Ste 2, Perrysburg, OH 43551. The listed phone number is (419) 872-0619.
What is Jae Kennedy-cookson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jae Kennedy-cookson enrolled in Medicare?
Yes. Jae Kennedy-cookson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jae Kennedy-cookson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jae Kennedy-cookson reassigns Medicare benefits to 2 organizations: Thrive Counseling LLC (Lynchburg, VA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jae Kennedy-cookson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jae Kennedy-cookson accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Jae Kennedy-cookson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jae Kennedy-cookson was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Ms. Jae M Kennedy-Cookson, APRN-CNP, PMHNP-BC · NPI 1528298288
Psychiatric/Mental Health physician in Perrysburg, Ohio. Individual provider, active in the CMS NPPES registry since July 16, 2009.
## Identity
- **NPI:** 1528298288 (Entity type: Individual)
- **Enumerated:** July 16, 2009
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1457548224 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 27475 HOLIDAY LN STE 2, Perrysburg, OH 43551-3350
- **Phone:** (419) 872-0619
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528298288) · Data from the CMS NPPES public registry.