Individual provider Active NPI

Donald Copeland, AGNP-C

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1861867301
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP8204 Issued in AZ
Practice address
5916 E McKellips Rd
Mesa, AZ 85215-2755
Phone
(480) 930-4477
Fax
(415) 252-7176
NPI assigned
Dec 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP8204 AZ
Adult Health Nurse Practitioner 363LA2200X AP8204 AZ Primary

Addresses

Primary practice location

5916 E McKellips Rd
Mesa, AZ 85215-2755

Mailing address

5916 E McKellips Rd
Mesa, AZ 85215-2755
Phone (480) 930-4477

Other practice location 1

2075 W Pecos Rd Ste 1
Chandler, AZ 85224-5723
Phone (480) 656-5711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20160208001856 AZ Practitioner - Nurse Practitioner 5092019232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

4960 S Alma School Rd
Suite 18
Chandler, AZ 85248-5573
Phone (888) 405-6396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC CurrentSince Dec 13, 2021 Accepting new patients
Iora Senior Health, LLC CurrentSince Dec 13, 2021 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Prescott Healthcare Solutions LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients
Iora Senior Health, LLC Past Accepting new patients
Iora Health, LLC Past Accepting new patients

Locations

4960 S Alma School Rd
Ste 18
Chandler, AZ 85248
Phone (480) 447-4244

5916 E McKellips Rd
Mesa, AZ 85215
Phone (480) 930-4477

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

101 Tremont St
Fl 6
Boston, MA 02108

Interoperability endpoints

  • Direct secure messaging: olufisayo.akinnaso.p1@direct.crossroads.nextgenshare.com

Organizations & group practices 8

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": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1861867301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152755",
            "telephone_number": "480-930-4477",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 E MCKELLIPS RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852152755",
            "telephone_number": "480-930-4477",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2075 W Pecos Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245723",
            "country_code": "US",
            "telephone_number": "480-656-5711",
            "fax_number": "480-656-5622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "DONALD",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-09",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP8204",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP8204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.