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JACOB COCKERHAN PMHNP
NPI 1922539378
Registered Nurse in Waterford, MI

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
279 SUMMIT DR, WATERFORD, MI 48328(248) 745-4900 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2022, Mar 27, 2017 (2 updates tracked since 2017).

About Jacob Cockerhan Pmhnp NPPES

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

JACOB COCKERHAN PMHNP (NPI 1922539378) is an individual registered nurse in Waterford, Michigan, licensed in Michigan (4704315433) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1922539378
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameJACOB COCKERHANCredential: PMHNP
Location Address279 SUMMIT DRWaterford, MI 48328-3364
Mailing Address279 Summit DrWaterford, MI 48328-3364
Phone(248) 745-4900
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2017
Last NPPES UpdateNovember 3, 20222 updates tracked since enumeration
NPPES CertifiedNovember 3, 2022
✔ NPI 1922539378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MI · 4704315433
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 4704315433 (MI)
279 SUMMIT DR, Waterford, MI 48328
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Cockerhan Pmhnp 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 ID2567835309
PECOS Enrollment IDI20230227001619
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Cockerhan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cns Healthcare
14 mi
Psychiatry
24230 KARIM BLVD, SUITE 100
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 26 clinicians in this Medicare group
NPI 1770538068 (248) 745-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
93 services47 patients

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.

COMMUNITY NETWORK SERVICES
Exclusive Provider Organization
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
ANITA MCCANN RN
Registered Nurse (Case Management)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
DOSYNG YOON MD
Psychiatry & Neurology (Psychiatry)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 922-9077
MRS. COURTNEY ELIZABETH PALADINO
Social Worker (Clinical)
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 409-4165
DEUNDRA DENISE FULLER CPSS
Peer Specialist
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 409-4139
ALYSHIA MAGEE BS, MED
Case Manager/Care Coordinator
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
BARBARA ANN HAYWOOD LLBSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900
MARK ANTHONY MITCHELL MSW
Social Worker
279 SUMMIT DR
WATERFORD, MI 48328
Oakland County (248) 745-4900

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 Jacob Cockerhan's NPI number?

The NPI number for Jacob Cockerhan is 1922539378. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Jacob Cockerhan located?

Jacob Cockerhan practices at 279 Summit Dr, Waterford, MI 48328. The listed phone number is (248) 745-4900.

What is Jacob Cockerhan's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Jacob Cockerhan enrolled in Medicare?

Yes. Jacob Cockerhan 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.

Which organization bills Medicare for Jacob Cockerhan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Cockerhan reassigns Medicare benefits to Cns Healthcare (Novi, MI). 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 Jacob Cockerhan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Cockerhan accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Jacob Cockerhan 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 Jacob Cockerhan was last updated on November 3, 2022. 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.