Marcia Kopacz, BSN,MSN,CNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704088147 Issued in MI

Practice address

32270 Telegraph Rd
Ste 240
Bingham Farms, MI 48025-2456

Phone

(248) 593-1717

Fax

(248) 593-1711

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Certified Nurse Practitioner, Master of Science - Nursing, 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.

• David Gurevitch MD PC

  • Psychologist
  • Bingham Farms, MI
  • NPI 1871635607
  NPD (past)
• Seniors Wellness Group, P.C.

  • Clinical Psychologist
  • Royal Oak, MI
  • NPI 1568419240
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1366512634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD",
            "address_2": "STE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-593-1717",
            "fax_number": "248-593-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32270 TELEGRAPH RD",
            "address_2": "STE 240",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480252456",
            "telephone_number": "248-593-1717",
            "fax_number": "248-593-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACZ",
        "first_name": "MARCIA",
        "credential": "BSN,MSN,CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MI",
            "license": "4704088147",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704088147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "5008605430",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa H. Knudson, R.D.
• Raven D Koch
• Stephanie Koch
• Megi Kola
• Courtney Sue Konopitski, BS
• Gacia Christina Kordyan
• Gena Korkes
• Steven M Korotkin, MD
• Raphaela Sophia Korotky
• Timothy Frank Kosinski, MS DDS

• Nurse Practitioner in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.