MR. JERALD GLENN COOPERSMITH ARNP
NPI 1902821044
Nurse Practitioner - Family in St Augustine, FL
About Mr. Jerald Glenn Coopersmith Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JERALD GLENN COOPERSMITH ARNP (NPI 1902821044) is an individual family provider in St Augustine, Florida, licensed in Florida (ARNP9218067) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
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 (PECOS)
Mr. Jerald Glenn Coopersmith Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32086 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.
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
ST AUGUSTINE, FL 32086
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 Jerald Coopersmith's NPI number?
The NPI number for Jerald Coopersmith is 1902821044. It was assigned to this individual provider in the NPPES registry on July 12, 2006.
Where is Jerald Coopersmith located?
Jerald Coopersmith practices at 1955 Us Highway 1 S 200, St Augustine, FL 32086. The listed phone number is (904) 829-8956.
What is Jerald Coopersmith's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jerald Coopersmith enrolled in Medicare?
Yes. Jerald Coopersmith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jerald Coopersmith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mr. Jerald Glenn Coopersmith, ARNP · NPI 1902821044
Family physician in St Augustine, Florida. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1902821044 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP9218067 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1955 US HIGHWAY 1 S, 200, St Augustine, FL 32086-3708
- **Phone:** (904) 829-8956
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1902821044) · Data from the CMS NPPES public registry.