William Robert Kupke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA062191 Issued in PA

Practice address

232 W 25TH St
Erie, PA 16544-0002

Phone

(814) 452-5000

NPI assigned

Nov 6, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, FL2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

93.12 of 100Reported as group

Quality

83.29

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.65 of 100Reported as group

Quality

90.03

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

83.74 of 100Reported as group

Quality

78.36

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Ahn Emergency Group of Erie County LTD.

  • Emergency Medicine Physician
  • Erie, PA
  • NPI 1336564798
  Medicare reassignment
• Ahn Observation Group LLC

  • Emergency Medicine Physician
  • Jefferson Hills, PA
  • NPI 1437814696
  Medicare reassignment
• Tampa Bay Emergency Physicians LLC

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1114977428
  Medicare reassignment
• Tampa Bay Emergency Physicians-Heartland LLC

  • Emergency Medicine Physician
  • Sebring, FL
  • NPI 1043661408
  Medicare reassignment

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1376144105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19749 LAKE PICKETT RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328204602",
            "telephone_number": "407-404-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W 25TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165440002",
            "telephone_number": "814-452-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPKE",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062191",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005462",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113667",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Michael Kunik
• Jessie S Kunkel, DO
• Michelle S. Kunselman, RRT
• Deborah Lynn Kuntz, R.D., L.D.N., C.D.E.
• Sara Kristen Kuntz, L.P.C.
• Kupniewski Dentistry PLLC
• Andrew John Kupniewski, MS, LAT, ATC
• Stephen D Kupniewski, DMD
• Maki Kurata, LIC.AC.
• Kevin Martin Kuric, MD

• Physician Assistant in Erie, PA
• Providers in Erie, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.