Individual provider Active NPI

Craig Copelin, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Baltimore, MD
National Provider Identifier
1184620718
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R167141 Issued in MD
Practice address
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Phone
(410) 601-5209
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R167141 MD Primary

Addresses

Primary practice location

2401 W Belvedere Ave
Baltimore, MD 21215-5216

Mailing address

68 S Service Rd
Suite 350
Melville, NY 11747-2354
Phone (516) 945-3000

Other identifiers 2

IdentifierTypeStateIssuer
406929300MedicaidMD
454MK504OtherNYTRAILBLAZER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX, KS, MT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180116001423 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173573003 Reassigns benefits to 4 organizations
I20180131001709 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173573003 Reassigns benefits to 1 organization
I20260114002023 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173573003 Reassigns benefits to 17 organizations
I20260602001392 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173573003 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallam-Hartley Counties Hospital District 17 clinicians
Lindsborg Community Hospital Association 14 clinicians

Practice addresses (Care Compare)

1411 Denver Ave
Dalhart, TX 79022-4809
Phone (806) 249-4571

605 W Lincoln St
Lindsborg, KS 67456-2328
Phone (785) 227-3308

Hospital & facility affiliations

  • Coon Memorial Hospital Hospital, Dalhart, TX, CCN 451331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R167141MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Trego County Lemke Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Apr 1, 2019 Accepting new patients
Ellsworth County Medical Center CurrentSince Feb 27, 2026 Accepting new patients
Trego County Lemke Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
Ellsworth County Medical Center CurrentSince Feb 27, 2026 Accepting new patients
Norton County Hospital CurrentSince Jan 12, 2026 Accepting new patients
Dallam-Hartley Counties Hospital District Current Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Mar 8, 2022 Accepting new patients
Norton County Hospital CurrentSince Jan 12, 2026 Accepting new patients
Dallam-Hartley Counties Hospital District CurrentSince Mar 8, 2022 Accepting new patients
Norton County Hospital CurrentSince Jan 12, 2026 Accepting new patients
Valley Citizens' Foundation for Health Care Inc Current Accepting new patients
Monarch Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2017 Accepting new patients
Valley Citizens' Foundation for Health Care Inc CurrentSince Apr 1, 2019 Accepting new patients
New Mexico Anesthesia Specialists LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
San Miguel Hospital Corporation Past Accepting new patients
Medical Center Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
North American Partners in Anesthesia Maryland LLC PastSince Jul 10, 2022 Accepting new patients

Locations

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

1033 2nd Ave
Monte Vista, CO 81144
Phone (719) 852-8827

1000 Rush Dr
Salida, CO 81201
Phone (719) 530-2265

1604 Aylward Ave
Ellsworth, KS 67439
Phone (785) 472-3111

807 N State St
Norton, KS 67654
Phone (785) 877-3305

102 E Holme St
Norton, KS 67654
Phone (785) 628-3231

320 N 13th St
Wakeeney, KS 67672
Phone (785) 743-2182

1411 Denver Ave
Dalhart, TX 79022
Phone (806) 244-4571

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/47504f24-8f33-46ef-bd43-36455bc94e0b/

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 1

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1184620718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 S SERVICE RD",
            "address_2": "SUITE 350",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472354",
            "telephone_number": "516-945-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELIN",
        "first_name": "CRAIG",
        "credential": "C.R.N.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R167141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406929300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAILBLAZER",
            "identifier": "454MK504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.