Individual provider Active NPI

Eva Kotsopoulos, NP

  • Women's Health Nurse Practitioner
  • Waterville, ME
National Provider Identifier
1174232144
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
421968 Issued in NY
Practice address
18 Silver St
Waterville, ME 04901-6668
Phone
(207) 922-3222
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 421968 NY Primary

Addresses

Primary practice location

18 Silver St
Waterville, ME 04901-6668

Mailing address

PO Box 1380
Saranac Lake, NY 12983-7380
Phone (518) 897-4725

Other practice location 1

7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7000

Other practice location 2

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 897-2726

Other practice location 3

6 North Main St
St. Regis Falls, NY 12980
Phone (518) 897-2876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NY2 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
I20250331000840 ME Practitioner - Nurse Practitioner 4789107806 Reassigns benefits to 1 organization
I20260605001082 NY Practitioner - Nurse Practitioner 4789107806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Planning Association of Maine IncGroup PAC ID 6800037581, 13 clinicians
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

Practice addresses (Care Compare)

18 Silver St
Waterville, ME 04901-6668
Phone (207) 509-3267

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141

Hospital & facility affiliations

  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
421968NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Planning Association of Maine Inc CurrentSince Mar 1, 2025 Accepting new patients
Family Planning Association of Maine Inc CurrentSince Mar 1, 2025 Accepting new patients

Locations

43 Gabriel Dr
Augusta, ME 04330
Phone (207) 248-3927

188 Madison Ave
Skowhegan, ME 04976
Phone (207) 612-5000

18 Silver St
Waterville, ME 04901
Phone (207) 509-3267

Interoperability endpoints

  • Direct secure messaging: eva.kotsopoulos.1@3508.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1174232144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129837380",
            "telephone_number": "518-897-4725",
            "fax_number": "518-897-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016668",
            "telephone_number": "207-922-3222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Stetson Rd",
            "address_purpose": "LOCATION",
            "city": "Tupper Lake",
            "state": "NY",
            "postal_code": "129862014",
            "country_code": "US",
            "telephone_number": "518-359-7000",
            "fax_number": "518-359-8243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2233 State Route 86",
            "address_purpose": "LOCATION",
            "city": "Saranac Lake",
            "state": "NY",
            "postal_code": "129835644",
            "country_code": "US",
            "telephone_number": "518-897-2726",
            "fax_number": "518-897-2897",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 North  Main St",
            "address_purpose": "LOCATION",
            "city": "St. Regis Falls",
            "state": "NY",
            "postal_code": "12980",
            "country_code": "US",
            "telephone_number": "518-897-2876",
            "fax_number": "518-897-4419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTSOPOULOS",
        "first_name": "EVA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

Verify at the official NPI Registry.