Individual provider Active NPI

Nicholas Daniel Coppa, M.D.

  • Neurological Surgery Physician
  • Cape Coral, FL
National Provider Identifier
1205017605
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME174969 Issued in FL
Practice address
632 Del Prado Blvd N
Cape Coral, FL 33909-2278
Phone
(239) 343-3800
Fax
(239) 343-4261
NPI assigned
Nov 14, 2007
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME174969 FL Primary
Neurological Surgery Physician 207T00000X MD60101352 WA
Neurological Surgery Physician 207T00000X MD035600 DC
Neurological Surgery Physician 207T00000X MD27964 OR

Addresses

Primary practice location

632 Del Prado Blvd N
Cape Coral, FL 33909-2278

Mailing address

PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3800

Other practice location 1

46 North St
Hyannis, MA 02601-3845
Phone (508) 771-0006 ext. 117

Other identifiers 1

IdentifierTypeStateIssuer
127721600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncoppa681664@Direct.leememorial.org Direct LEE HEALTH SYSTEM INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130701000149 MA Practitioner - Neurosurgery 9638252356 Reassigns benefits to 2 organizations
I20250904000317 FL Practitioner - Neurosurgery 9638252356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800

46 N St
Suite 7
Hyannis, MA 02601-3845
Phone (508) 833-2639

632 Del Prado Blvd N
Suite 1
Cape Coral, FL 33909-2278
Phone (239) 772-5577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.23 of 100Reported as group
Quality
56.78
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion176
Laminectomy or laminotomy (partial removal of spine bones)58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD035600DCMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Cod Hospital Inc Current Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Lee Health System Inc CurrentSince Sep 1, 2025 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jun 1, 2016 Accepting new patients
Physicians of Falmouth Hospital CurrentSince Jan 1, 2018 Accepting new patients
Lee Health System Inc CurrentSince Sep 1, 2025 Accepting new patients
Lee Memorial Health System PastSince Sep 28, 2025 Accepting new patients

Locations

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

632 Del Prado Blvd N
Ste 1
Cape Coral, FL 33909
Phone (239) 468-8076

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ncoppa14097@direct.capecodhealthcare.masshiway.net
  • Direct secure messaging: ncoppa681664@direct.leememorial.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1205017605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 DEL PRADO BLVD N",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092278",
            "telephone_number": "239-343-3800",
            "fax_number": "239-343-4261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46 North St",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026013845",
            "country_code": "US",
            "telephone_number": "508-771-0006 x117",
            "fax_number": "508-790-8337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPPA",
        "first_name": "NICHOLAS",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME174969",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD60101352",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "DC",
            "license": "MD035600",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OR",
            "license": "MD27964",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127721600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncoppa681664@Direct.leememorial.org",
            "affiliation": "Y",
            "affiliationName": "LEE HEALTH SYSTEM INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2776 Cleveland Ave",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339015864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.