Kassandra Kopp, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

281074 Issued in AZ

Practice address

5537 W St Anne Ave
Laveen, AZ 85339-2284

Phone

(480) 295-9959

NPI assigned

Dec 13, 2022

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

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Wound Care Services LLCGroup PAC ID 8628586187, 7 clinicians

Nexus Wound Consultants LLCGroup PAC ID 3577913805, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kassandra.kopp@krogerhealth.eclinicaldirectplus.com

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.

• Alliance Wound Care Services PLLC

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1083406722
  Medicare reassignment Care Compare group NPD
• Nexus Wound Consultants LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1407628316
  Medicare reassignment Care Compare group NPD
• Integrity Pain and Anesthesia PLLC

  dba Integrity Pain and Wellness

  • Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1386049070
  Medicare reassignment NPD
• Kpa Medical LLC

  • Anesthesiology Physician
  • Scottsdale, AZ
  • NPI 1619374048
  Medicare reassignment NPD
• The Little Clinic of Arizona LLC

  • Family Nurse Practitioner
  • Buckeye, AZ
  • NPI 1023216249
  Medicare reassignment NPD
• Nexus Consultants PLLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1245970938
  NPD (past)

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1598476285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5537 W ST ANNE AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392284",
            "telephone_number": "480-295-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5537 W ST ANNE AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392284",
            "telephone_number": "480-295-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "KASSANDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "281074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Kemigisa
• Kgcarehomes
• Khakwani and Mohammad Medical PC (PDS Medical Group Laveen)
• Rupa Kneip
• David Andrew Kolstad, FNP-C
• Kora Behavioral Health Services
• Caitlin Kurz, DMD
• Teresa Lageson, PA-C
• Fatima Ayodele Lah, FNP
• Carolina Lara-Lerma, MA, LPC

• Family Nurse Practitioner in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.