JACEY COOPER
NPI 1689486458
Physician Assistant - Medical in Williamsburg, KY
About Jacey Cooper NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACEY COOPER (NPI 1689486458) is an individual medical provider in Williamsburg, Kentucky, licensed in Kentucky (PA3827) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Corbin, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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
Jacey Cooper 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Corbin
Acute Care Hospitals · Corbin, KYOther Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIAMSBURG, KY 40769
WILLIAMSBURG, KY 40769
WILLIAMSBURG, KY 40769
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 Jacey Cooper's NPI number?
The NPI number for Jacey Cooper is 1689486458. It was assigned to this individual provider in the NPPES registry on January 21, 2025.
Where is Jacey Cooper located?
Jacey Cooper practices at 475 N Highway 25 W Ste 100, Williamsburg, KY 40769. The listed phone number is (606) 549-2930.
What is Jacey Cooper's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jacey Cooper enrolled in Medicare?
Yes. Jacey Cooper 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.
Is Jacey Cooper affiliated with any hospitals?
According to CMS data, Jacey Cooper is affiliated with Baptist Health Corbin.
When was this NPI record last updated?
The NPPES record for Jacey Cooper was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jacey Cooper · NPI 1689486458
Medical physician in Williamsburg, Kentucky. Individual provider, active in the CMS NPPES registry since January 21, 2025.
## Identity
- **NPI:** 1689486458 (Entity type: Individual)
- **Enumerated:** January 21, 2025
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA3827 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 475 N HIGHWAY 25 W STE 100, Williamsburg, KY 40769-1576
- **Phone:** (606) 549-2930
## 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 2025
## Record status
- **NPPES last updated:** July 20, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1689486458) · Data from the CMS NPPES public registry.