Individual provider Active NPI

Claire Kopylov, MSN, CRNP, FNP-C

  • Family Nurse Practitioner
  • Southampton, PA
National Provider Identifier
1598425886
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024183 Issued in PA
Practice address
1122 Street Rd Ste 204
Southampton, PA 18966-4218
Phone
(215) 999-7546
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024183 PA Primary

Addresses

Primary practice location

1122 Street Rd Ste 204
Southampton, PA 18966-4218

Mailing address

1122 Street Rd Ste 204
Southampton, PA 18966-4218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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

Enrollment IDStateProvider typePAC IDDetails
I20220125003029 PA Practitioner - Nurse Practitioner 4880086891 Reassigns benefits to 2 organizations
I20260623001881 NJ Practitioner - Nurse Practitioner 4880086891

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1203 Langhorne Newtown Rd -
336 St Mary OB/GYN Bucks County
Langhorne, PA 19047-1236
Phone (215) 322-5042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Oct 15, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Oct 15, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Current Accepting new patients
Dermatology Specialists of Pennsylvania CurrentSince Jan 1, 2022 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients

Locations

1203 Langhorne Newtown Rd
Ste 336
Langhorne, PA 19047
Phone (215) 322-5042

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

1122 Street Rd
Ste 204
Southampton, PA 18966
Phone (215) 949-3100

178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Interoperability endpoints

  • Direct secure messaging: ckopylov2344540@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1598425886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 STREET RD STE 204",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 STREET RD STE 204",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189664218",
            "telephone_number": "215-999-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPYLOV",
        "first_name": "CLAIRE",
        "credential": "MSN, CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.