NPIMap

Individual provider Active NPI

Katie Copps, PA-C

  • Physician Assistant
  • Naknek, AK
National Provider Identifier
1699042184
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1024 Issued in AK
Practice address
2 School Rd
Naknek, AK 99633-0000
Phone
(907) 246-6155
NPI assigned
Nov 28, 2011
Last updated
Dec 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1024 AK Primary

Addresses

Primary practice location

2 School Rd
Naknek, AK 99633-0000

Mailing address

PO Box 211
Naknek, AK 99633-0211
Phone (907) 246-6155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, MT3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120522001065 AK Practitioner - Physician Assistant 0244493617 Reassigns benefits to 1 organization
I20180517000493 TX Practitioner - Physician Assistant 0244493617 Reassigns benefits to 1 organization
I20210107002190 MT Practitioner - Physician Assistant 0244493617 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Rosary HealthcareGroup PAC ID 8921045667, 49 clinicians
Colstrip Medical CenterGroup PAC ID 8224023296, 9 clinicians

Practice addresses (Care Compare)

2600 Wilson St
Miles City, MT 59301-5094
Phone (406) 233-2600

6230 Main St
Colstrip, MT 59323-9520
Phone (406) 748-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1024AKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Glendive Medical Center, Inc CurrentSince Feb 9, 2021 Accepting new patients
Glendive Medical Center, Inc CurrentSince Feb 9, 2021 Accepting new patients
Holy Rosary Healthcare CurrentSince Mar 23, 2023 Accepting new patients
Holy Rosary Healthcare CurrentSince Mar 23, 2023 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Apr 1, 2018 Accepting new patients
McCone County Health Center Inc CurrentSince Dec 15, 2020 Accepting new patients
Alaska Imaging Associates, LLC Past Accepting new patients
County of Rosebud Past Accepting new patients
Bristol Bay Borough Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

202 Prospect Dr
Glendive, MT 59330
Phone (406) 345-3306

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 9

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": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609286400000",
    "number": "1699042184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "NAKNEK",
            "state": "AK",
            "postal_code": "996330211",
            "telephone_number": "907-246-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SCHOOL RD",
            "city": "NAKNEK",
            "state": "AK",
            "postal_code": "996330000",
            "telephone_number": "907-246-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPS",
        "first_name": "KATIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naknek, AK

Sources for this page

Verify at the official NPI Registry.