Individual provider Active NPI

Whitney Jane Cockerill, APRN

  • Nurse Practitioner
  • Washington Court House, OH
National Provider Identifier
1477424901
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN.497453 Issued in OH
Practice address
4577 Miami Trace Rd SW
Washington Court House, OH 43160-9621
Phone
(740) 505-9045
NPI assigned
Sep 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN.497453 OH Primary

Addresses

Primary practice location

4577 Miami Trace Rd SW
Washington Court House, OH 43160-9621

Mailing address

4577 Miami Trace Rd SW
Washington Court House, OH 43160-9621
Phone (740) 505-9045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20260303000540 OH Practitioner - Nurse Practitioner 8022590884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1005 E Temple St
Washington Court House, OH 43160-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.497453OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Firm, LLC Single Specialty CurrentSince Dec 16, 2025 Accepting new patients

Locations

1005 E Temple St
Wshngtn Ct Hs, OH 43160
Phone (740) 208-2550

Organizations & group practices 1

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": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1477424901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4577 MIAMI TRACE RD SW",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431609621",
            "telephone_number": "740-505-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4577 MIAMI TRACE RD SW",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431609621",
            "telephone_number": "740-505-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKERILL",
        "first_name": "WHITNEY",
        "middle_name": "JANE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN.497453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Court House, OH

Sources for this page

Verify at the official NPI Registry.