Individual provider Active NPI

Patricia Ann Koper, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Voorhees, NJ
National Provider Identifier
1720300478
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00269500 Issued in NJ
Practice address
200 Bowman Dr Ste 355
Voorhees, NJ 08043-9623
Phone
(856) 274-7210
NPI assigned
Feb 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00269500 NJ Primary

Addresses

Primary practice location

200 Bowman Dr Ste 355
Voorhees, NJ 08043-9623

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 274-7210

Other practice location 1

Professional Building East, 1113 Hospital Drive
Suite 101
Willingboro, NJ 08046
Phone (609) 835-5240

Other practice location 2

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

Other practice location 3

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (856) 247-7260

Other practice location 4

62 Richmond Ave
Lumberton, NJ 08048-1632
Phone (856) 247-7260

Other practice location 5

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Other practice location 6

100 Long A Coming Ln
Berlin, NJ 08009-1964
Phone (856) 247-7260

Other practice location 7

200 Bowman Dr Ste E355B
Voorhees, NJ 08043-9623
Phone (856) 247-7260

Other practice location 8

200 Bowman Dr Ste E366
Voorhees, NJ 08043-9639
Phone (856) 247-7295

Other identifiers 1

IdentifierTypeStateIssuer
0226246MedicaidNJ

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address pkoper18466@directvirtua.org
Direct Messaging Address pkoper18466@directvirtua.org
Direct Messaging Address pkoper18466@directvirtua.org
Direct Messaging Address pkoper18466@directvirtua.org
Direct Messaging Address pkoper18466@directvirtua.org
Direct Messaging Address pkoper18466@directvirtua.org
Direct Messaging Address pkoper18466@directvirtua.org
Direct Messaging Address pkoper18466@directvirtua.org
Direct Messaging Address pkoper18466@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100503000620 NJ Practitioner - Nurse Practitioner 0345378907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

175 Madison Ave
Mount Holly, NJ 08060-2038

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Apr 1, 2016 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2016 Accepting new patients

Locations

100 Long a Coming Ln
Berlin, NJ 08009
Phone (856) 247-7260

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920

62 Richmond Ave
Lumberton, NJ 08048
Phone (609) 267-8800

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

200 Bowman Dr
Ste E355
Voorhees, NJ 08043
Phone (856) 247-7210

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

200 Bowman Dr
Ste 355
Voorhees, NJ 08043
Phone (856) 274-7210

200 Bowman Dr
Ste E366
Voorhees, NJ 08043
Phone (856) 247-7295

200 Bowman Dr
Ste E355B
Voorhees, NJ 08043
Phone (856) 247-7210

1113 Hospital Dr
Ste 101
Willingboro, NJ 08046
Phone (609) 835-2900

Interoperability endpoints

  • Direct secure messaging: pkoper18466@directvirtua.org

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.

Hospital & facility affiliations 2

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": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1720300478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-274-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE 355",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "856-274-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Professional Building East, 1113 Hospital Drive",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "08046",
            "country_code": "US",
            "telephone_number": "609-835-5240",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602038",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 Richmond Ave",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NJ",
            "postal_code": "080481632",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "90 Brick Rd",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532177",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Long A Coming Ln",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NJ",
            "postal_code": "080091964",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Ste E355B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439623",
            "country_code": "US",
            "telephone_number": "856-247-7260",
            "fax_number": "856-247-7261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Ste E366",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439639",
            "country_code": "US",
            "telephone_number": "856-247-7295",
            "fax_number": "856-247-7216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00269500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226246",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E355B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E355",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "Professional Building East, 1113 Hospital Drive",
            "address_2": "Suite 101",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Long A Coming Ln",
            "city": "Berlin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080091964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "62 Richmond Ave",
            "city": "Lumberton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080481632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Rd",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pkoper18466@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E366",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.