JACKLINE OTIENO COOK NP
NPI 1821712654
Nurse Practitioner - Acute Care in Fort Worth, TX
About Jackline Otieno Cook Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKLINE OTIENO COOK NP (NPI 1821712654) is an individual acute care provider in Fort Worth, Texas, licensed in Texas (A) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Nor-lea Hospital District, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Jackline Otieno Cook Np 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 3
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Nor-Lea Hospital District
Critical Access Hospitals · Lovington, NMScenic Mountain Medical Center, A Steward Family H
Acute Care Hospitals · Big Spring, TXOdessa Regional Medical Center
Acute Care Hospitals · Odessa, TXBig Bend Regional Medical Center
Critical Access Hospitals · Alpine, TXMethodist Mansfield Medical Center
Acute Care Hospitals · Mansfield, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Jackline Cook's NPI number?
The NPI number for Jackline Cook is 1821712654. It was assigned to this individual provider in the NPPES registry on September 26, 2022.
Where is Jackline Cook located?
Jackline Cook practices at 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104. The listed phone number is (817) 250-4906.
What is Jackline Cook's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jackline Cook enrolled in Medicare?
Yes. Jackline Cook 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.
What insurance does Jackline Cook accept?
Health plans from Blue Cross and Blue Shield of Texas list Jackline Cook 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.
Is Jackline Cook affiliated with any hospitals?
According to CMS data, Jackline Cook is affiliated with Nor-Lea Hospital District, Scenic Mountain Medical Center, A Steward Family H, Odessa Regional Medical Center, Big Bend Regional Medical Center and Methodist Mansfield Medical Center.
When was this NPI record last updated?
The NPPES record for Jackline Cook was last updated on February 11, 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.
# Jackline Otieno Cook, NP · NPI 1821712654
Acute Care physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since September 26, 2022.
## Identity
- **NPI:** 1821712654 (Entity type: Individual)
- **Enumerated:** September 26, 2022
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** A (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 W TERRELL AVE STE K230, Fort Worth, TX 76104-3104
- **Phone:** (817) 250-4906
## 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 2022
## Record status
- **NPPES last updated:** February 11, 2025
- **Other identifiers:** Other 363LA2100X (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1821712654) · Data from the CMS NPPES public registry.