Abbie L. Koptchak, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA052734 Issued in PA

Practice address

210 Medical Center Dr
Philipsburg, PA 16866-1948

Phone

(814) 342-5402

Fax

(814) 342-0598

NPI assigned

Oct 19, 2006

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

Other names 1

• Abbie L. McCamley Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akoptchak84160@direct.geisinger.edu

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment Care Compare group
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  • Pediatrics Physician
  • Philipsburg, PA
  • NPI 1811948367

  Physician Assistant

  NPD
• Geisinger Clinic Sunbury

  • Internal Medicine Physician
  • Sunbury, PA
  • NPI 1740239243

  Physician Assistant

  NPD
• Geisinger Clinic

  • Hospitalist Physician
  • Wilkes Barre, PA
  • NPI 1588614358
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1851473045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "address_2": "CREDENTIALS DEPT",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEDICAL CENTER DR",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168661948",
            "telephone_number": "814-342-5402",
            "fax_number": "814-342-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPTCHAK",
        "first_name": "ABBIE",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA052734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akoptchak84160@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Medical Center Dr",
            "city": "Philipsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168661948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABBIE",
            "last_name": "MCCAMLEY",
            "middle_name": "L.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kidney Care Services LLC
• Samantha Matchock Kitko, PHARMD
• Samantha Hope Knepp, COTA/L
• Kristen Knisley
• Michael P Kochara, PTA
• Christa Lynn Kozminski
• Laura Diane Kuterbach, PH.D.
• Linnea Lake, PMHNP-BC
• Elliott Lauder, COTA/L
• Doriann Lee Lavery, MD

• Physician Assistant in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.
• 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.