Active NPI
Craig Copelin, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R167141
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 406929300 | Medicaid | MD | |
| 454MK504 | Other | NY | TRAILBLAZER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, TX, KS, MT
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DistrictLindsborg Community Hospital Association
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R167141 | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trego County Lemke Memorial Hospital | Current | Accepting new patients | |
| Valley Citizens' Foundation for Health Care Inc | Current | Accepting new patients | |
| Ellsworth County Medical Center | Current | Accepting new patients | |
| Trego County Lemke Memorial Hospital | Current | Accepting new patients | |
| Ellsworth County Medical Center | Current | Accepting new patients | |
| Norton County Hospital | Current | Accepting new patients | |
| Dallam-Hartley Counties Hospital District | Current | Accepting new patients | |
| Dallam-Hartley Counties Hospital District | Current | Accepting new patients | |
| Norton County Hospital | Current | Accepting new patients | |
| Dallam-Hartley Counties Hospital District | Current | Accepting new patients | |
| Norton County Hospital | Current | Accepting new patients | |
| Valley Citizens' Foundation for Health Care Inc | Current | Accepting new patients | |
| Monarch Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Valley Citizens' Foundation for Health Care Inc | Current | 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 | Past | 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
- 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.
-
- Certified Registered Nurse Anesthetist
- Salida, CO
- NPI 1396774519
CO, Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital Clinic/Center
- Wakeeney, KS
- NPI 1275614059
KS
-
- Critical Access Hospital
- Del Norte, CO
- NPI 1396783981
CO
-
- Medicare Defined Swing Bed Hospital Unit
- Del Norte, CO
- NPI 1720181225
CO
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Dalhart, TX
- NPI 1639176456
Hospital
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.