Mary Coppolo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6931 Issued in CT

Practice address

999 Summer St
Suite 304
Stamford, CT 06905-5546

Phone

(203) 325-5700

Fax

(203) 325-8080

NPI assigned

Apr 13, 2017

Last updated

Apr 13, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

48.77 of 100Reported as group

Quality

35.11

Improvement activities

30

Cost

60.7

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: mcoppolo@somers1172.srs-direct.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.

• Pain Management Associates of Connecticut, P.C.

  • Interventional Pain Medicine Physician
  • Ridgefield, CT
  • NPI 1467986638
  NPD (past)
• Pain Management Associates of Connecticut, P.C.

  • Interventional Pain Medicine Physician
  • Stamford, CT
  • NPI 1871542993
  NPD (past)

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1750815098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST",
            "address_2": "SUITE 304",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-325-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 SUMMER ST",
            "address_2": "SUITE 304",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055546",
            "telephone_number": "203-325-5700",
            "fax_number": "203-325-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLO",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Cooper
• Stephen Cooper, MD
• Kelly Copeland, PSYD
• Alexandra Coppola, MSW
• Frank Coppola
• Corado Counseling LLC
• Gicel Corado
• Yamel A Corcoll-Iglesias, MA.,LMFT
• Kerry Corcoran, APRN
• Core Balance Physical Therapy, LLC

• Family Nurse Practitioner in Stamford, CT
• Providers in Stamford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.