Individual provider Active NPI

Karen Ann Kopicko, RN, CPNP

  • Pediatric Nurse Practitioner
  • Ann Arbor, MI
National Provider Identifier
1801857669
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
4704113320 Issued in MI
Practice address
911 Brown St
Ann Arbor, MI 48104-3203
Phone
(734) 769-3702
Fax
(734) 769-2075
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 4704113320 MI Primary

Addresses

Primary practice location

911 Brown St
Ann Arbor, MI 48104-3203

Mailing address

499 Leicester St
Plymouth, MI 48170-1067
Phone (734) 459-3402

Other names 1

  • Karen Ann Chmielnicki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704113320MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Dumont MD PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8598/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801857669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 LEICESTER ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701067",
            "telephone_number": "734-459-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 BROWN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043203",
            "telephone_number": "734-769-3702",
            "fax_number": "734-769-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPICKO",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "4704113320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CHMIELNICKI",
            "middle_name": "ANN",
            "credential": "RN, CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.