Individual provider Active NPI

Erin N Kopietz, APRN

  • Nurse Practitioner
  • Plattsmouth, NE
National Provider Identifier
1619288222
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111165 Issued in NE
Practice address
211 S 23Rd St
Inside Pamida
Plattsmouth, NE 68048-2903
Phone
(402) 296-5100
Fax
(402) 296-5107
NPI assigned
Jun 29, 2010
Last updated
Nov 9, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111165 NE Primary

Addresses

Primary practice location

211 S 23Rd St
Inside Pamida
Plattsmouth, NE 68048-2903

Mailing address

3901 Pine Lake Rd
Suite 211
Lincoln, NE 68516-5497
Phone (402) 423-4200

Other identifiers 1

IdentifierTypeStateIssuer
47024OtherNEBCBS NE

Other names 1

  • Erin N Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20100817000923 NE Practitioner - Nurse Practitioner 0749314441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

680 E Fremont Medical Park Dr
Fremont, NE 68025-2309
Phone (402) 727-1091

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Methodist Hospital Current Accepting new patients
Physicians Clinic Inc Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Faith Regional Physician Services, LLC PastSince Dec 28, 2015 Accepting new patients
Faith Regional Physician Services, LLC Past Accepting new patients

Locations

1240 E 23rd St
Fremont, NE 68025
Phone (402) 721-8668

680 E Fremont Medical Park Dr
Fremont, NE 68025
Phone (402) 727-1091

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

10710 Fort St
Omaha, NE 68134
Phone (402) 354-7500

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

Interoperability endpoints

  • Direct secure messaging: erin.kopietz@direct.nmhs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1619288222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PINE LAKE RD",
            "address_2": "SUITE 211",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165497",
            "telephone_number": "402-423-4200",
            "fax_number": "402-423-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S 23RD ST",
            "address_2": "INSIDE PAMIDA",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680482903",
            "telephone_number": "402-296-5100",
            "fax_number": "402-296-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPIETZ",
        "first_name": "ERIN",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE",
            "identifier": "47024",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "JOHNSON",
            "middle_name": "N",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plattsmouth, NE

Sources for this page

Verify at the official NPI Registry.