Jeffrey Allan Copeman, M.D.
Individual provider Active NPI Family Medicine Physician · Hibbing, MN
NPI 1912964628 · NPPES record last updated Sep 13, 2013
Key facts
- NPI
- 1912964628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35624 (MN)
- Practice address
- 3605 Mayfair Ave
Hibbing, MN 55746-2923 - Phone
- (218) 262-3441
- Fax
- (218) 362-6989
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.93 of 100
- Quality
- 94.88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Heritage Manor |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| Good Samaritan Society - International Falls |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Sep 1, 2021 Sep 1, 2021 |
| Aitkin Health Services |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| Guardian Angels Health and Rehabilitation Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
| Littlefork Care Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050216000088 | MN | Practitioner - Family Practice |
0749232916 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Range Regional Health Services | Current |
Accepting new patients | |
| Range Regional Health Services | Current |
Accepting new patients | |
| Range Regional Health Services | Current | Accepting new patients | |
| Guardian Angels Health and Rehabilitation Center | Past | Accepting new patients | |
| Chisholm Health Center | Past | Accepting new patients |
Locations
1814 14th Ave E
Hibbing, MN 55746
Phone (218) 262-3441
750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441
3605 Mayfair Ave
Hibbing, MN 55746
Phone (218) 262-3441
402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858
Interoperability endpoints
- jcopeman285265@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35624 | MN | Yes |
Addresses
Primary practice location
3605 Mayfair Ave
Hibbing, MN 55746-2923
Mailing address
3605 Mayfair Ave
Hibbing, MN 55746-2923
Phone (218) 262-3441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080165980 | Other | MN | MEDICARE RAILROAD |
| 0619368400 | Medicaid | MN | |
| HP22909 | Other | MN | HEALTHPARTNERS |
| 01-01983 | Other | MN | MEDICA |
| 35A08CO | Other | MN | BLUECROSS BLUESHIELD |
| NA9201010427 | Other | MN | PREFERRED ONE |
| 787115 | Other | MN | AMERICAS PPO |
Other providers in Hibbing, MN
- Comprehensive Anesthesia and Managed Pain Systems, Inc.
- Desaree Conner
- Joslyn Mary Rose Cook
- Renee Cook
- Beverly Coon
- Cornerstone Caregiving East LLC
- Corolla Health PLC
- Daniel Lee Courneya
- Janice Coutureknuti
- Creative Solutions-Counseling 4 Kids
All providers in Hibbing, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2013. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.