Carol Lynn Copelin, RN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP117604 Issued in TX

Practice address

2802 W Walker St
Breckenridge, TX 76424

Phone

(254) 559-7215

Fax

(325) 893-4035

NPI assigned

Jul 27, 2008

Last updated

May 24, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shackelford County Community Resource CenterGroup PAC ID 8628027174, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Renew Home Health Home health agency, Abilene, TX, CCN 747859
• Stephens Memorial Hospital Hospital, Breckenridge, TX, CCN 671302
• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.copelin.1@28291.direct.athenahealth.com

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.

• Shackelford County Community Resource Center

  dba ResourceCare Albany

  • Federally Qualified Health Center (FQHC)
  • Albany, TX
  • NPI 1194804278
  Medicare reassignment Care Compare group NPD
• Clinical Practice Support Services

  dba Mansfield Urgent Care

  • Primary Care Clinic/Center
  • Mansfield, TX
  • NPI 1881888907
  Medicare reassignment NPD
• Shackelford County Community Resource Center

  dba ResourceCare Merkel

  • Federally Qualified Health Center (FQHC)
  • Merkel, TX
  • NPI 1184096273
  NPD
• Ellis Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Waxahachie, TX
  • NPI 1902856107
  NPD (past)
• Shackelford County Community Resource Center

  dba ResourceCare Breckenridge

  • Federally Qualified Health Center (FQHC)
  • Breckenridge, TX
  • NPI 1417248824
  NPD (past)

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

• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation
• Maxus Healthcare Partners LLC

  dba Renew Home Health

  • Home Health Agency
  • Abilene, TX
  • NPI 1740716646
  Care Compare affiliation
• Stephens Memorial Hospital District

  dba Stephens Memorial Hospital

  • Critical Access Hospital
  • Breckenridge, TX
  • NPI 1285065623
  Care Compare affiliation

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

{
    "created_epoch": "1217116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1669637831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PATE ST",
            "city": "ALBANY",
            "state": "TX",
            "postal_code": "764303225",
            "telephone_number": "257-622-4473",
            "fax_number": "325-893-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 W WALKER ST",
            "city": "BRECKENRIDGE",
            "state": "TX",
            "postal_code": "76424",
            "telephone_number": "254-559-7215",
            "fax_number": "325-893-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELIN",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-27",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200114101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Brown, RN
• Shawnda Hennesay Camp, D.C.
• Jenifer Lynn Campbell, MPT
• Childress County Hospital District (Villa Haven Health and Rehabililitation Center)
• Trinity Cone, PT, DPT
• Jeffery Davis, PT
• Rebbekah Davis
• Aaron Sam Dickinson, PTA
• Lauren Dye
• Nancy A Edens, PA

• Family Nurse Practitioner in Breckenridge, TX
• Providers in Breckenridge, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.