Alicia Coppage, MSN, FNP-C
Individual provider Active NPI Family Medicine Physician · Demotte, IN
NPI 1912866989 · NPPES record last updated Feb 19, 2026
Key facts
- NPI
- 1912866989
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 71017735A (IN)
- Practice address
- 519 N Halleck St
Demotte, IN 46310-9553 - Phone
- (219) 987-7750
- NPI assigned
- Jan 16, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71017735A | IN | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 71017735A | IN | Yes |
Addresses
Primary practice location
519 N Halleck St
Demotte, IN 46310-9553
Mailing address
519 N Halleck St
Demotte, IN 46310-9553
Phone (219) 987-7750
Other providers in Demotte, IN
- Breanne Kristy Chevrette
- Frances Clark
- Clinical Management Services, Inc.
- Natalie Haines Cohen
- Jacob Steven Conrad
- Cassie Cox
- Sydney Nicole Cox
- Creative Spirit Counseling LLC
- Crestmark of Roselawn
- De Boer OD., LTD
All providers in Demotte, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.