Michele Emory Koczman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011008237 Issued in VA

Practice address

451 James Madison Hwy Ste 104
Culpeper, VA 22701-2361

Phone

(540) 727-8880

Fax

(540) 727-8882

NPI assigned

Feb 8, 2010

Last updated

May 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Michele Emory Former name

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innovative Urgent Care, LLCGroup PAC ID 0749728681, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
• Direct secure messaging: mkoczman161779@direct.rush.rush-health.com

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.

• Innovative Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Damascus, MD
  • NPI 1821773508

  DC

  Medicare reassignment Care Compare group
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Innovative Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Clarksburg, MD
  • NPI 1164305181
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Ashburn Walk-in Clinic & Primary Care

  • Preferred Provider Organization
  • Ashburn, VA
  • NPI 1003251737
  NPD (past)
• Nova Physician Wellness Center PLLC

  • Family Medicine Physician
  • Fairfax, VA
  • NPI 1215307400
  NPD (past)
• V.R Veerapalli M.D PC.,

  • Family Medicine Physician
  • Culpeper, VA
  • NPI 1932250982
  NPD (past)
• Clarksburg Urgent Care LLC

  • Urgent Care Clinic/Center
  • Clarksburg, MD
  • NPI 1235721556
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Resurgens, LLC

  dba Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Braselton, GA
  • NPI 1033919790
  NPD (past)
• Resurgens, LLC

  dba Resurgens Orthopaedics

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1386697928
  NPD (past)

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1205168770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 JAMES MADISON HWY STE 104",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012361",
            "telephone_number": "540-727-8880",
            "fax_number": "540-727-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 JAMES MADISON HWY STE 104",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012361",
            "telephone_number": "540-727-8880",
            "fax_number": "540-727-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCZMAN",
        "first_name": "MICHELE",
        "middle_name": "EMORY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007232",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "011008237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "EMORY",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua D. King, M.D.
• Maryam Zohreh Kirnos
• Christina Marie Kistler
• Faith Klein, PHARMD
• Renata Klosterman, MA,NCC,LPC,CSAC
• April Kopanyi, FNP-C
• Joe Kube
• Elisa J Kucia, MD
• Matthew Richard Kucia, MD
• Shubhada Kumar

• Physician Assistant in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.