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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umms Ambulatory Care LLC | Current |
Accepting new patients | |
| Umms Ambulatory Care LLC | Current |
Accepting new patients | |
| Umms Ambulatory Care LLC | Current | Accepting new patients | |
| Umms Ambulatory Care LLC | Current |
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
- rcoppage1277026@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Shinae Cho
- Rosemay Christensen
- Lindsey Marie Clark
- Janet Conner
- Elizabeth Cooper
- Teresa Correia
- Mackenzie Costello
- Teyrra Crawford
- Cronin Dermatology & Skin Cancer Center of Kent Island, LLC
- Leah Dedrick
All providers in Chester, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.