Individual provider Active NPI

Kylie Coppi, FNP

  • Family Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1285455535
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032389 Issued in CA
Practice address
401 E Highland Ave Ste 351
San Bernardino, CA 92404-3830
Phone
(909) 475-8611
NPI assigned
Oct 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032389 CA Primary

Addresses

Primary practice location

401 E Highland Ave Ste 351
San Bernardino, CA 92404-3830

Mailing address

7082 Almeria Ave
Fontana, CA 92336-5026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250331002886 CA Practitioner - Nurse Practitioner 7618490608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Bariatric a Medical CorporationGroup PAC ID 3476607052, 12 clinicians

Practice addresses (Care Compare)

401 E Highland Ave
Suite 351
San Bernardino, CA 92404-3830
Phone (909) 475-8611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Bariatric, a Medical Corporation CurrentSince Jan 23, 2025 Accepting new patients

Locations

401 E Highland Ave
Ste 351
Sn Bernrdno, CA 92404
Phone (909) 475-8611

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15250/brand/3/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1285455535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7082 ALMERIA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923365026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE STE 351",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043830",
            "telephone_number": "909-475-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPI",
        "first_name": "KYLIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.