Active NPI
Jennifer L. Copare, D.O.
- Internal Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102204183
- Practice address
- 825 Fairfax Ave
Suite 445
Norfolk, VA 23507-1914 - Phone
- (757) 446-8920
- Fax
- (757) 446-5242
- NPI assigned
- Apr 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102204183 | VA | Primary |
Addresses
Primary practice location
825 Fairfax Ave
Suite 445
Norfolk, VA 23507-1914
Mailing address
PO Box 936
Evms Medical Group
Norfolk, VA 23501-0936
Phone (757) 446-8920
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053679977 | Other | VA | OPTIMA HEALTH |
| 1053679977 | Other | VA | VIRGINIA HEALTH NETWORK |
| 1053679977 | Other | VA | VIRGINIA PREMIER HEALTH PLAN |
| 1053679977 | Medicaid | NC | |
| 1053679977 | Other | VA | COVENTRY NETWORK |
| 1053679977 | Medicaid | VA | |
| 1053679977 | Other | VA | CORVEL |
| 1053679977 | Other | VA | ANTHEM BC/BS |
| 1053679977 | Other | VA | AETNA |
| 1053679977 | Other | VA | USA MANAGED CARE |
| 1053679977 | Other | VA | CIGNA |
| 1053679977 | Other | VA | UNITED HEALTHCARE |
| -028 | Other | VA | TRICARE/CHAMPUS |
| 1053679977 | Other | VA | MULTIPLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2950 College Dr
Suite 2G
Vineland, NJ 08360-6933
Phone (856) 691-1129
Hospital & facility affiliations
- Inspira Medical Center Vineland
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 69 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 55 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspira Health Network Medical Group, P.C. | Current | Accepting new patients |
Locations
1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071
798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161
2950 College Dr
Ste 2A
Vineland, NJ 08360
Phone (856) 641-8680
2950 College Dr
Ste 2G
Vineland, NJ 08360
Phone (856) 691-1129
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.
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454284800000",
"number": "1053679977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936",
"address_2": "EVMS MEDICAL GROUP",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235010936",
"telephone_number": "757-446-8920",
"fax_number": "757-446-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE",
"address_2": "SUITE 445",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235071914",
"telephone_number": "757-446-8920",
"fax_number": "757-446-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPARE",
"first_name": "JENNIFER",
"middle_name": "L.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-28",
"last_updated": "2016-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102204183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER HEALTH PLAN",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053679977",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY NETWORK",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USA MANAGED CARE",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1053679977",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "-028",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "1053679977",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.