Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Jackie Cooley

Individual provider Certified Registered Nurse Anesthetist · NPI 1104231422

Jackie Cooley is registered under Certified Registered Nurse Anesthetist (CRNA) in Springfield, Illinois. Qualified in 2014, 12 years ago. Practices with Memorial Medical Center, a 130-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
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Practice location Address checks out

800 E Carpenter St
Springfield, IL 62702-5324 Not confirmed with CMS for 12 years — call before visiting
Phone: (217) 525-5643
Fax: (217) 544-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209011614 (IL)

Record details

NPI number1104231422
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2014
Last updated in NPPESJune 25, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Memorial Medical Center — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients114
Services billed 115 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Memorial Medical Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 130 clinicians in the practice; 12 are shown here.

Other providers in Springfield