Racheal Lynn Coppage, PA-C

Individual provider Active NPI Physician Assistant · Chester, MD

NPI 1891585782 · NPPES record last updated May 12, 2025

Key facts

NPI
1891585782
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
25 Kent Town Market
Chester, MD 21619-2632
Phone
(667) 343-9501
NPI assigned
May 12, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umms Ambulatory Care LLC (53 clinicians)

Practice addresses (Care Compare)

1730 Merritt Blvd
Dundalk, MD 21222-3212
Phone (410) 650-4730

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in MD, WV
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20251007000312 MD Practitioner - Physician Assistant 7315444577 Reassigns benefits to 1 organization
I20260429002301 WV Practitioner - Physician Assistant 7315444577 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC Current
since Jul 24, 2025
Accepting new patients
Umms Ambulatory Care LLC Current
since May 18, 2025
Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC Current
since Jul 24, 2025
Accepting new patients

Locations

25 Kent Town Market
Chester, MD 21619
Phone (410) 769-3125

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

Interoperability endpoints

  • Direct secure messaging: rcoppage1277026@direct.umm.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

Addresses

Primary practice location

25 Kent Town Market
Chester, MD 21619-2632

Mailing address

130 Sheaffer Rd
Chestertown, MD 21620-2039
Phone (443) 988-1828

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 12, 2025.

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1891585782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SHEAFFER RD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216202039",
            "telephone_number": "443-988-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 KENT TOWN MARKET",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192632",
            "telephone_number": "667-343-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPAGE",
        "first_name": "RACHEAL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

All providers in Chester, MD · Physician Assistant in Maryland

Sources for this page

Verify at the official NPI Registry.