MRS. JACQUELINE SIM COFFEY CPNP-PC
NPI 1811682768
Nurse Practitioner - Pediatrics in Houston, TX
About Mrs. Jacqueline Sim Coffey Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELINE SIM COFFEY CPNP-PC (NPI 1811682768) is an individual pediatrics provider in Houston, Texas, licensed in Texas (1118810) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
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)
Mrs. Jacqueline Sim Coffey Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jacqueline Coffey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Alvin, TX 77511
- Reassigned Medicare billing, Texas enrollment
- 191 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 77089 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 2
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 Jacqueline Coffey's NPI number?
The NPI number for Jacqueline Coffey is 1811682768. It was assigned to this individual provider in the NPPES registry on April 6, 2023.
Where is Jacqueline Coffey located?
Jacqueline Coffey practices at 11914 Astoria Blvd Ste 450, Houston, TX 77089. The listed phone number is (281) 484-7619.
What is Jacqueline Coffey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Jacqueline Coffey enrolled in Medicare?
Yes. Jacqueline Coffey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jacqueline Coffey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Coffey reassigns Medicare benefits to Stephen F. Austin Community Health Center, Inc. (Alvin, TX). The 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 Jacqueline Coffey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqueline Coffey accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Jacqueline Coffey 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 Jacqueline Coffey was last updated on May 11, 2023. 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.
# Mrs. Jacqueline Sim Coffey, CPNP-PC · NPI 1811682768
Pediatrics physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 6, 2023.
## Identity
- **NPI:** 1811682768 (Entity type: Individual)
- **Enumerated:** April 6, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 1118810 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11914 ASTORIA BLVD STE 450, Houston, TX 77089-6077
- **Phone:** (281) 484-7619
## 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:** Stephen F. Austin Community Health Center, Inc. (NPI 1578730818, Alvin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 11, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1811682768) · Data from the CMS NPPES public registry.