Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Cockerhan, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1922539378

Jacob Cockerhan, PMHNP is a Nurse Practitioner in Waterford, Michigan. Qualified in 2022, 4 years ago. Practices with Cns Healthcare, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

279 Summit Dr
Waterford, MI 48328-3364
Phone: (248) 745-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 4704315433 (MI)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 4704315433 (MI)

Record details

NPI number1922539378
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022
Mailing address279 Summit Dr, Waterford, MI 48328-3364

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cns Healthcare — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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