Olivia Jane Lacoppola

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

435 Union Ave
Laconia, NH 03246-2814

Phone

(877) 345-5300

Fax

(561) 989-3665

NPI assigned

Jun 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NH, MA2 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

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

On Site Dermatology LLC 20 clinicians

On Site Dermatology of Massachusetts LLC 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• On Site Dermatology of Massachusetts, LLC

  • Dermatology Physician
  • Harvard, MA
  • NPI 1801217864

  MA

  Medicare reassignment Care Compare group NPD
• On Site Dermatology LLC

  • Dermatology Physician
  • Boca Raton, FL
  • NPI 1215978713

  NH

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1144115262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BECK PL",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 UNION AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462814",
            "telephone_number": "877-345-5300",
            "fax_number": "561-989-3665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 E Bare Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "MA",
            "postal_code": "014511852",
            "country_code": "US",
            "telephone_number": "877-345-5300",
            "fax_number": "561-989-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOPPOLA",
        "first_name": "OLIVIA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laconia Housing & Redevelopment Authority
• Laconia Internal Medicine, PLLC
• Laconia Medical Supply
• Laconia School District
• Laconia Women'S Health Center, PLLC
• Lindsay M Ladue
• Susan Lafrance
• Shadd Lagrandeur, M.A., CCC-SLP
• Lakes Region Anesthesiology PA
• Lakes Region Community Services

• All providers in Laconia, NH
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.

Verify at the official NPI Registry.