NPIMap

Individual provider Active NPI

Olivia Grace Sopko, PA-C

  • Medical Physician Assistant
  • Ephrata, PA
National Provider Identifier
1225718141
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA064891 Issued in PA
Practice address
895 E Main St
Ephrata, PA 17522-2545
Phone
(717) 721-4585
Fax
(717) 721-4597
NPI assigned
Jul 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA064891 PA Primary

Addresses

Primary practice location

895 E Main St
Ephrata, PA 17522-2545

Mailing address

895 E Main St
Ephrata, PA 17522-2545
Phone (717) 721-4585

Other practice location 1

1250 S Cedar Crest Blvd Ste 215
Allentown, PA 18103-6271
Phone (610) 402-6986

Other practice location 2

520 Greenbriar Rd
York, PA 17404-1335
Phone (717) 849-5465

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address osopko254064@phsdirect.pinnaclehealth.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024001114 PA Practitioner - Physician Assistant 1254787518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

950 S Octorara Trail
Penn Medicine LGHP Family Medicine Parkesbu
Parkesburg, PA 19365-2100
Phone (610) 857-6648

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA064891PAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: osopko694418@direct2.lvhn.org

Organizations & group practices 1

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 12

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1225718141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222545",
            "telephone_number": "717-721-4585",
            "fax_number": "717-721-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 E MAIN ST",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175222545",
            "telephone_number": "717-721-4585",
            "fax_number": "717-721-4597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 S Cedar Crest Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036271",
            "country_code": "US",
            "telephone_number": "610-402-6986",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 Greenbriar Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174041335",
            "country_code": "US",
            "telephone_number": "717-849-5465",
            "fax_number": "717-767-6716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOPKO",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "osopko254064@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "520 Greenbriar Rd",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174041335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.