Nina Marie Copeland, APN
Individual provider Active NPI Family Nurse Practitioner · Fort Smith, AR
NPI 1295093532 · NPPES record last updated Apr 24, 2012
Key facts
- NPI
- 1295093532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- A03656 (AR)
- Practice address
- 7301 Rogers Ave
Fort Smith, AR 72903-4100 - Phone
- (479) 314-6000
- NPI assigned
- Apr 24, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Johnson Dermatology Clinic PLLC
Practice addresses (Care Compare)
5921 Riley Park Dr
Fort Smith, AR 72916-6103
Phone (479) 649-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.81 of 100
- Quality
- 82.93
- Improvement activities
- 40
- Cost
- 72.14
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120703000001 | AR | Practitioner - Nurse Practitioner | 3476718172 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A03656 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johnson Dermatology Clinic PLLC | Current |
Accepting new patients | |
| Mercy Clinic Fort Smith Communities | Past | Accepting new patients |
Locations
5921 Riley Park Dr
Fort Smith, AR 72916
Phone (479) 649-3376
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A03656 | AR | Yes |
Addresses
Primary practice location
7301 Rogers Ave
Fort Smith, AR 72903-4100
Mailing address
5611 Williamson PL
Fort Smith, AR 72916-8415
Phone (479) 459-8187
Other providers in Fort Smith, AR
- Stacey Cooper
- Suzan Cooper
- Tarah Cooper
- Beatriz Naoma Cope
- Ladonna Shae Copeland
- Shanna Copeland
- Marla Corcoran
- Daniel I Cordas
- Lauren Cordell
- Rebecca Cordell
All providers in Fort Smith, AR · Family Nurse Practitioner in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.