MRS. JACQUELINE COFFER FNP-C
NPI 1528638020
Nurse Practitioner - Family in South Holland, IL
About Mrs. Jacqueline Coffer Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE COFFER FNP-C (NPI 1528638020) is an individual family provider in South Holland, Illinois, licensed in Illinois (041246157) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Jacqueline Coffer Fnp-c 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60473 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH HOLLAND, IL 60473
SOUTH HOLLAND, IL 60473
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 Jacqueline Coffer's NPI number?
The NPI number for Jacqueline Coffer is 1528638020. It was assigned to this individual provider in the NPPES registry on June 28, 2021.
Where is Jacqueline Coffer located?
Jacqueline Coffer practices at 901 E Sibley Blvd, South Holland, IL 60473. The listed phone number is (773) 233-4100.
What is Jacqueline Coffer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jacqueline Coffer enrolled in Medicare?
Yes. Jacqueline Coffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jacqueline Coffer was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mrs. Jacqueline Coffer, FNP-C · NPI 1528638020
Family physician in South Holland, Illinois. Individual provider, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1528638020 (Entity type: Individual)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 041246157 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 901 E SIBLEY BLVD, South Holland, IL 60473-1166
- **Phone:** (773) 233-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** March 7, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1528638020) · Data from the CMS NPPES public registry.