Griffin Stallard Kopp, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

114103-23 Issued in NH

Practice address

3073 White Mountain Hwy
North Conway, NH 03860-7101

Phone

(603) 356-4835

Fax

(603) 356-2604

NPI assigned

Sep 28, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NH2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 2365418993, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital, the Hospital, North Conway, NH, CCN 301307

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gkopp909881@direct.mmc.mainehealth.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/
• Direct secure messaging: gkopp804411@direct.unitypoint.org

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.

• Memorial Hospital

  • Critical Access Hospital
  • North Conway, NH
  • NPI 1700864709
  Medicare reassignment Care Compare group NPD
• Delaware County Memorial Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• People'S Memorial Hospital

  • Emergency Medicine Physician
  • Independence, IA
  • NPI 1336281245
  Medicare reassignment NPD
• Sumner Community Club

  • Medicare Defined Swing Bed Hospital Unit
  • Sumner, IA
  • NPI 1366442295
  Medicare reassignment NPD
• Waverly Health Center

  • Certified Registered Nurse Anesthetist
  • Waverly, IA
  • NPI 1033125463

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Sumner Community Club

  • Critical Access Hospital
  • Sumner, IA
  • NPI 1780684548
  Medicare reassignment
• Sumner Community Club

  • Family Medicine Physician
  • Sumner, IA
  • NPI 1801818661
  Medicare reassignment
• Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • North Conway, NH
  • NPI 1942361985
  NPD
• Delaware County Memorial Hospital

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD
• Delaware County Memorial Hospital

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD
• Guttenberg Municipal Hospital

  • Surgery Physician
  • Guttenberg, IA
  • NPI 1386679793

  Nurse Anesthetist, Certified Registered

  NPD
• Guttenberg Municipal Hospital

  • Emergency Medicine Physician
  • Guttenberg, IA
  • NPI 1538337274
  NPD

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

• Memorial Hospital

  • Critical Access Hospital
  • North Conway, NH
  • NPI 1700864709
  Care Compare affiliation
• Memorial Hospital

  • Family Medicine Physician
  • North Conway, NH
  • NPI 1992000103

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Obstetrics & Gynecology Physician
  • North Conway, NH
  • NPI 1366421141

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Orthopaedic Surgery Physician
  • North Conway, NH
  • NPI 1619968849

  Hospital

  Care Compare affiliation
• The Memorial Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • North Conway, NH
  • NPI 1629060926

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1073120754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-4835",
            "fax_number": "603-356-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 WHITE MOUNTAIN HWY",
            "city": "NORTH CONWAY",
            "state": "NH",
            "postal_code": "038607101",
            "telephone_number": "603-356-4835",
            "fax_number": "603-356-2604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 W Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "IA",
            "postal_code": "520571525",
            "country_code": "US",
            "telephone_number": "563-822-1435",
            "fax_number": "563-822-1436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPP",
        "first_name": "GRIFFIN",
        "middle_name": "STALLARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-28",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-161938",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "114103-23",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "VA",
            "license": "0001237895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerin Graham OT
• Nelle Purcell Killourie, PA-C
• Kimberly Louise Kleinpeter, PT
• Susan Klementovich, RPH
• Ann-Marie Knox
• John Kovalik Jr., DMD
• Anna Kramer, PT
• John A Kustan, M.D.
• Daniel Kyparissis, DC
• Jennifer Anne Labudde, M.D.

• Certified Registered Nurse Anesthetist in North Conway, NH
• Providers in North Conway, NH by specialty
• Certified Registered Nurse Anesthetist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.