Individual provider Active NPI

Kimberly Sue Kopchik, APN

  • Family Nurse Practitioner
  • Centennial, CO
National Provider Identifier
1679735344
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0993304-NP Issued in CO
Practice address
3989 E Arapahoe Rd Ste 110
Centennial, CO 80122-2077
Phone
(303) 500-0230
Fax
(303) 500-0236
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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 APN0993304-NP CO Primary

Addresses

Primary practice location

3989 E Arapahoe Rd Ste 110
Centennial, CO 80122-2077

Mailing address

3989 E Arapahoe Rd Ste 110
Centennial, CO 80122-2077
Phone (303) 500-0230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20181210001543 CO Practitioner - Nurse Practitioner 3971847484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
68.36 of 100Reported as group
Quality
20
Improvement activities
40
Cost
79.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0993304-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Medical & Health Care, Inc. Family CurrentSince Nov 1, 2018 Accepting new patients
Rocky Mountain Medical & Health Care, Inc. Family CurrentSince Nov 1, 2018 Accepting new patients

Locations

6850 E Evans Ave
Ste 102
Denver, CO 80224
Phone (303) 691-5009

Organizations & group practices 2

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1679735344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3989 E ARAPAHOE RD STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222077",
            "telephone_number": "303-500-0230",
            "fax_number": "303-500-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3989 E ARAPAHOE RD STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801222077",
            "telephone_number": "303-500-0230",
            "fax_number": "303-500-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPCHIK",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN0993304-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.