Individual provider Active NPI

Jamie Nichole Cockrell, CRNP

  • Acute Care Nurse Practitioner
  • Florence, AL
National Provider Identifier
1265710164
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-087729 Issued in AL
Practice address
422 E Dr Hicks Blvd
Suite a
Florence, AL 35630-5707
Phone
(256) 766-1401
Fax
(256) 766-1402
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 1-087729 AL
Acute Care Nurse Practitioner 363LA2100X 1-087729 AL Primary

Addresses

Primary practice location

422 E Dr Hicks Blvd
Suite a
Florence, AL 35630-5707

Mailing address

422 E Dr Hicks Blvd
Suite a
Florence, AL 35630-5707
Phone (256) 766-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120312000337 AL Practitioner - Nurse Practitioner 0840459855 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
N Rao Boorgu MD PC Acute Care CurrentSince Jan 23, 2012 Accepting new patients
Good Samaritan Hospice USA Inc Past Accepting new patients
Alabama Nephrologists Inc Past Accepting new patients

Locations

422 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 766-1401

422 E Dr Hicks Blvd
Ste A
Florence, AL 35630
Phone (205) 386-4087

1840 Darby Dr
Florence, AL 35630
Phone (256) 764-2313

712 State St
Muscle Shoals, AL 35661
Phone (256) 386-7028

14897 Highway 43
Russellville, AL 35653
Phone (256) 332-7044

1120 S Jackson Hwy
Ste 107
Sheffield, AL 35660
Phone (256) 381-8004

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1265710164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305707",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD",
            "address_2": "SUITE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305707",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "JAMIE",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "AL",
            "license": "1-087729",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-087729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

Verify at the official NPI Registry.