Individual provider Active NPI

Julia M Kopcak, PA-C

  • Medical Physician Assistant
  • Everett, WA
National Provider Identifier
1043487309
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60258001 Issued in WA
Practice address
13020 Meridian Ave S
Everett, WA 98208-6468
Phone
(206) 386-4744
NPI assigned
May 14, 2008
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA60258001 WA Primary

Addresses

Primary practice location

13020 Meridian Ave S
Everett, WA 98208-6468

Mailing address

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (206) 386-4744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20120314000635 WA Practitioner - Physician Assistant 5496780223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

7320 216TH St SW
Edmonds, WA 98026-8006

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2279OHMDOptometrist
PA60258001WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Apr 1, 2013 Accepting new patients
Providence Health & Services-Washington CurrentSince Apr 1, 2013 Accepting new patients
Swedish Health Services CurrentSince Jan 1, 2012 Accepting new patients
Swedish Health Services Past Accepting new patients
Brian L. Bachelder MD Past Accepting new patients

Locations

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

7320 216th St SW
Ste 40
Edmonds, WA 98026
Phone (425) 640-4660

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

751 NE Blakely Dr
#3
Issaquah, WA 98029
Phone (206) 215-2090

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

18100 NE Union Hill Rd
Ste 320
Redmond, WA 98052

550 17th Ave
Fl A
Seattle, WA 98122
Phone (206) 386-2020

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 5th Ave
Ste 600
Seattle, WA 98104

Interoperability endpoints

  • Direct secure messaging: jkopcak1042181@wm.providencedirect.org

Organizations & group practices 5

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1043487309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 MERIDIAN AVE S",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086468",
            "telephone_number": "206-386-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 MERIDIAN AVE S",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086468",
            "telephone_number": "206-386-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPCAK",
        "first_name": "JULIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60258001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.