Jacqualine M Terrill Cooke, CNM FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200350072NPFNPPP Issued in OR

Practice address

320 SE Baker St
McMinnville, OR 97128-6038

Phone

(503) 474-3600

Fax

(503) 474-3601

NPI assigned

Apr 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Oregon Health Sciences University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sunrise Family Clinic, LLCGroup PAC ID 0840427167, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071
• Providence Newberg Medical Center Hospital, Newberg, OR, CCN 380037

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacqualine.terrill.cooke.1@7721.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7721/brand/1/csg/1/fhir/r4

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.

• Sunrise Family Clinic, LLC

  • Primary Care Clinic/Center
  • McMinnville, OR
  • NPI 1538594999
  Medicare reassignment Care Compare group Authorized official
• Sunrise Family Clinic, LLC

  • Nurse Practitioner
  • McMinnville, OR
  • NPI 1699279513
  NPD
• McMinnville Chiropractic Clinic LLC

  • Chiropractor
  • McMinnville, OR
  • NPI 1396244661
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Newberg, OR
  • NPI 1952482275
  Care Compare affiliation
• Willamette Valley Medical Center LLC

  • General Acute Care Hospital
  • McMinnville, OR
  • NPI 1346269982
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1285698555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 SE BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286038",
            "telephone_number": "503-474-3600",
            "fax_number": "503-474-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SE BAKER ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286038",
            "telephone_number": "503-474-3600",
            "fax_number": "503-474-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRILL COOKE",
        "first_name": "JACQUALINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "CNM FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OR",
            "license": "200040704RN",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200350072NPFNPPP",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "200450066NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "233427",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Munty Teahn
• Stephanie R Teahn, LCSW
• Collin Mitchell Teal
• Jessica Christine Teigland, MA, QMHP
• Nathaniel Joseph Tejeda
• Jillian Terry
• The Job Lady, Inc.
• The Relational Space Psychotherapy LLC
• The Springs Living LLC
• Therapeutic Associates, Inc

• Family Nurse Practitioner in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.