Individual provider Active NPI

Erica Coppola, CNM

  • Advanced Practice Midwife
  • Cary, NC
National Provider Identifier
1811305220
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
201405097NP-PP Issued in OR
Practice address
100 Duke Health Cary PL Ste 310
Cary, NC 27519-6759
Phone
(919) 684-2471
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201142386RN OR
Advanced Practice Midwife 367A00000X 201405097NP-PP OR Primary

Addresses

Primary practice location

100 Duke Health Cary PL Ste 310
Cary, NC 27519-6759

Mailing address

100 Duke Health Cary PL Ste 310
Cary, NC 27519-6759
Phone (973) 214-5752

Other identifiers 2

IdentifierTypeStateIssuer
500675286MedicaidOR
R183325OtherORMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150922001259 OR Practitioner - Certified Nurse Midwife (CNM) 6901113042 Reassigns benefits to 2 organizations
I20231024004258 NC Practitioner - Certified Nurse Midwife (CNM) 6901113042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

401 Irving Pkwy
Suite 310
Holly Springs, NC 27540-5301
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
894NCMDAddiction (Substance Use Disorder) Counselor
201142386RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince May 27, 2022 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 10, 2023 Accepting new patients
Silverton Health Current Accepting new patients
Silverton Health CurrentSince May 27, 2022 Accepting new patients
Legacy Clinics LLC CurrentSince Mar 3, 2023 Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 310
Cary, NC 27519
Phone (919) 385-5200

100 Duke Health Cary Pl
#310
Cary, NC 27519

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

401 Irving Pkwy
Ste 310
Holly Springs, NC 27540
Phone (919) 385-3800

5601 Arringdon Park Dr
Morrisville, NC 27560
Phone (888) 275-3853

15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Organizations & group practices 6

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 6

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1811305220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DUKE HEALTH CARY PL STE 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196759",
            "telephone_number": "973-214-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DUKE HEALTH CARY PL STE 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275196759",
            "telephone_number": "919-684-2471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "ERICA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201142386RN",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OR",
            "license": "201405097NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500675286",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R183325",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.