AMANDA COCILOVA
NPI 1659772556
Nurse Practitioner - Family in Jackson, MS

Q: What is Amanda Cocilova's NPI number?

The NPI number for Amanda Cocilova is 1659772556. It was assigned to this individual provider in the NPPES registry on September 10, 2014.

Q: What is Amanda Cocilova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Cocilova was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 September 10, 2014PECOS EnrolledAccepts Medicare Assignment

970 LAKELAND DR STE 61, JACKSON, MS 39216(601) 982-7850(601) 366-8507 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Amanda Cocilova NPPES

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

AMANDA COCILOVA (NPI 1659772556) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (R886569) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Mississippi Methodist Rehab Ctr, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659772556

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA COCILOVA

Location Address970 LAKELAND DR STE 61Jackson, MS 39216-4634

Mailing Address970 Lakeland Dr Ste 61Jackson, MS 39216-4634 · (601) 982-7850 · Fax (601) 366-8507

Phone(601) 982-7850

Fax(601) 366-8507

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 10, 2014

Last NPPES UpdateApril 16, 2024

NPPES CertifiedApril 16, 2024

✔ NPI 1659772556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R886569

970 LAKELAND DR STE 61, Jackson, MS 39216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Amanda Cocilova 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 ID5698996825

PECOS Enrollment IDI20141031000928

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mississippi Methodist Rehab Ctr

Acute Care Hospitals · Jackson, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number250152

Location1350 E Woodrow Wilson DrJackson, MS 39216 · Hinds County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

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.

AMBER GOODMAN PA-C

Physician Assistant