Individual provider Active NPI

Mary Ann Kopec, FNP

  • Family Nurse Practitioner
  • Aliquippa, PA
National Provider Identifier
1336487545
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP012792 Issued in PA
Practice address
99 Autumn St
Aliquippa, PA 15001-1301
Phone
(724) 375-8147
Fax
(724) 375-2435
NPI assigned
Jan 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 269825 OH
Family Nurse Practitioner 363LF0000X SP012792 PA Primary

Addresses

Primary practice location

99 Autumn St
Aliquippa, PA 15001-1301

Mailing address

PO Box 3510
Pittsburgh, PA 15230-3510
Phone (412) 288-2130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20241108001760 PA Order and Referring Only - Nurse Practitioner 8729226568

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269825OHMDFamily Nurse Practitioner
SP012792PAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: maryann.kopec.p6@direct.adagiohealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1336487545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152303510",
            "telephone_number": "412-288-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 AUTUMN ST",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150011301",
            "telephone_number": "724-375-8147",
            "fax_number": "724-375-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEC",
        "first_name": "MARY ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "269825",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP012792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliquippa, PA

Sources for this page

Verify at the official NPI Registry.