Suzanne Koprowski, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R0612401 Issued in MN

Practice address

409 SE 13TH St
Grand Rapids, MN 55744-4257

Phone

(218) 326-9100

Fax

(218) 326-9200

NPI assigned

Aug 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Grand Itasca Clinic and Hospital

  dba Grand Itasca Pharmacy

  • Community/Retail Pharmacy
  • Grand Rapids, MN
  • NPI 1225441157
  NPD (past)
• New Spirit Women's Clinic PA

  • Family Medicine Physician
  • Grand Rapids, MN
  • NPI 1437163169
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1316054059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 13TH AVE E",
            "address_2": "SUITE 6",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557463675",
            "telephone_number": "219-263-7540",
            "fax_number": "866-732-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 SE 13TH ST",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557444257",
            "telephone_number": "218-326-9100",
            "fax_number": "218-326-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPROWSKI",
        "first_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R0612401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01R03KO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leroy Taylor Kincannon III, O.D.
• Roy D. Kjorlien, DC
• Jennifer Kliewer, MSW, LICSW
• Kristin Klinefelter, MS, RDN, LD
• John A. Kole, MD
• Alyssa Kotula
• James Krall
• Kreklow Dental
• Gretchen Kreklow, DDS
• Natalie Kay Kruse, NP

• Nurse Practitioner in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.