Jessie Copeland, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0808 Issued in NH

Practice address

NRHN Rehab Physician Services
70 Butler Street
Salem, NH 03079

Phone

(603) 501-5547

Fax

(603) 501-5650

NPI assigned

Oct 21, 2010

Last updated

Mar 2, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• NRHN Rehab Physician Services, Inc

  • Physical Medicine & Rehabilitation Physician
  • Portsmouth, NH
  • NPI 1831436633
  Medicare reassignment
• Appledore Medical Group Inc

  dba PRH Hospitalists

  • Hospitalist Physician
  • Portsmouth, NH
  • NPI 1194842898
  NPD (past)
• Appledore Medical Group, Inc

  • Internal Medicine Physician
  • Portsmouth, NH
  • NPI 1720077167
  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1730499963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NRHN REHAB PHYSICIAN SERVICES",
            "address_2": "105 CORPORATE DRIVE",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-501-5547",
            "fax_number": "603-501-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NRHN REHAB PHYSICIAN SERVICES",
            "address_2": "70 BUTLER STREET",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "03079",
            "telephone_number": "603-501-5547",
            "fax_number": "603-501-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "JESSIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA001250",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "0808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075575",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Connolly, RRT
• Jill Marilyn Connors, BA
• Convenientmd LLC
• Seth Conway, ATC
• Jessica Meredith Cooper, N.D.
• Coppeta Counseling LLC
• Jodi S Coppeta
• Alexander Cordeiro, PTA
• Core Physical Therapy, LLC
• Gerald Cornwell

• Physician Assistant in Salem, NH
• Providers in Salem, NH by specialty
• Physician Assistant in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.