Individual provider Active NPI

Dawn M. Kopp, FNP-C

  • Family Nurse Practitioner
  • Corydon, IN
National Provider Identifier
1114307303
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28181390A Issued in IN
Practice address
2086 Old Highway 135 NW
Corydon, IN 47112-4015
Phone
(812) 734-0303
Fax
(812) 225-5145
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3009415 KY
Family Nurse Practitioner 363LF0000X 28181390A IN Primary

Addresses

Primary practice location

2086 Old Highway 135 NW
Corydon, IN 47112-4015

Mailing address

PO Box 221273
Louisville, KY 40252-1273
Phone (812) 734-0303

Other identifiers 1

IdentifierTypeStateIssuer
201305640MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150618001095 IN Practitioner - Nurse Practitioner 4284945148 Reassigns benefits to 4 organizations
I20180910002600 KY Practitioner - Nurse Practitioner 4284945148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Louisville School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Post-Acute Medical Services 1 PCGroup PAC ID 6305112103, 20 clinicians

Practice addresses (Care Compare)

1 Silvercrest Dr
New Albany, IN 47150-7800
Phone (812) 913-5886

1143 23Rd St
Tell City, IN 47586-2562
Phone (812) 547-2312

120 Presbyterian Ave
Madison, IN 47250-3328
Phone (812) 265-0080

188 Thornton Rd
Hanover, IN 47243-9714
Phone (812) 866-8396

4917 Grant Line Rd
New Albany, IN 47150-8833
Phone (930) 256-0240

833 Park E Blvd
Lafayette, IN 47905-0785
Phone (765) 743-4400

871 Pacer Dr NW
Corydon, IN 47112-2145
Phone (812) 572-4897

966 N Wilson Rd
Scottsburg, IN 47170-7730
Phone (812) 752-2694

Merit-based Incentive Payment System (MIPS)

Final score
89.72 of 100Reported as apm
Quality
72.97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28181390AINMDFamily Nurse Practitioner
3009415KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kiosk Medicine Kentucky LLC Family CurrentSince Sep 13, 2022 Accepting new patients
Kentucky Post-Acute Medical Services 1 PSC CurrentSince Jan 1, 2021 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Nov 1, 2024 Accepting new patients
Little Clinic of in LLC Family CurrentSince Sep 13, 2022 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Apr 1, 2022 Accepting new patients
FC Indiana, LLC CurrentSince Dec 11, 2017 Accepting new patients
FC Indiana, LLC CurrentSince Dec 11, 2017 Accepting new patients
NV Pacs 2 LLC CurrentSince Jul 1, 2021 Accepting new patients
Harrison County Chiropractic PC PastSince Dec 13, 2020 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

833 Park East Blvd
Lafayette, IN 47905
Phone (765) 441-3168

1 Silvercrest Dr
New Albany, IN 47150
Phone (812) 399-3970

1202 E Tipton St
Seymour, IN 47274
Phone (812) 627-4933

723 Burkesville Rd
Albany, KY 42602
Phone (606) 387-6421

53 Donnermeyer Dr
Bellevue, KY 41073
Phone (859) 431-5413

55 Foundation Dr
Flemingsburg, KY 41041
Phone (606) 849-2351

1505 S Dixie St
Horse Cave, KY 42749
Phone (270) 786-2200

3039 Breckenridge Ln
Louisville, KY 40220
Phone (502) 451-4555

4700 Quinn Dr
Shively, KY 40216
Phone (502) 448-5850

Interoperability endpoints

  • Direct secure messaging: dawn.kopp@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1114307303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221273",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402521273",
            "telephone_number": "812-734-0303",
            "fax_number": "812-225-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 OLD HIGHWAY 135 NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471124015",
            "telephone_number": "812-734-0303",
            "fax_number": "812-225-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "DAWN",
        "middle_name": "M.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009415",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28181390A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201305640",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.