Active NPI
Jordan Rachel Kopfer, PA
- Physician Assistant
- Edina, MN
National Provider Identifier
1821752916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13883
- Practice address
- 6545 France Ave S Ste 165
Edina, MN 55435-2118 - Phone
- (952) 920-6545
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 13883 | MN | Primary |
Addresses
Primary practice location
6545 France Ave S Ste 165
Edina, MN 55435-2118
Mailing address
2228 Estates Dr
Eagan, MN 55122-4038
Phone (651) 331-1960
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13883 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1821752916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2228 ESTATES DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551224038",
"telephone_number": "651-331-1960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6545 FRANCE AVE S STE 165",
"city": "EDINA",
"state": "MN",
"postal_code": "554352118",
"telephone_number": "952-920-6545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOPFER",
"first_name": "JORDAN",
"middle_name": "RACHEL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.